NPIMap

Organization Active NPI

Wittmer Clinic of Chiropratic PA

  • Rehabilitation Chiropractor
  • Winter Park, FL
National Provider Identifier
1902103625
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH4079 Issued in FL
Legal business name
WITTMER CLINIC OF CHIROPRATIC PA
Practice address
5435 Lake Howell Rd
Winter Park, FL 32792-1033
Phone
(407) 677-7272
Fax
(407) 677-5298
NPI assigned
Feb 15, 2011
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra VazquezNPI 1427394683
Title
Billing Coordinator
Phone
(407) 677-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH4079 FL Primary

Addresses

Primary practice location

5435 Lake Howell Rd
Winter Park, FL 32792-1033

Mailing address

5435 Lake Howell Rd
Winter Park, FL 32792-1033
Phone (407) 677-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130923000754 FL Part B Supplier - Clinic/Group Practice 0547404097 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1902103625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921033",
            "telephone_number": "407-677-7272",
            "fax_number": "407-677-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921033",
            "telephone_number": "407-677-7272",
            "fax_number": "407-677-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTMER CLINIC OF CHIROPRATIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "407-677-7272"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.