Organization Active NPI

New Journey Chiropractor and Wellness LLC

  • Health Service Clinic/Center
  • Wilton Manors, FL
National Provider Identifier
1912778416
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NEW JOURNEY CHIROPRACTOR AND WELLNESS LLC
Practice address
1201 NE 26TH St Ste 106
Wilton Manors, FL 33305-1206
Phone
(754) 799-3852
Fax
(754) 799-3739
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Dr. Thomas Mitchell Wiest, DC, DIBCNNPI 1871279547
Title
Chiropractic Physician
Phone
(754) 799-3852

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1201 NE 26TH St Ste 106
Wilton Manors, FL 33305-1206

Mailing address

5372 NE 3Rd Ave
Oakland Park, FL 33334-1673
Phone (786) 503-9016

Other identifiers 1

IdentifierTypeStateIssuer
1871279547OtherFLNPPES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125003531 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476906470 Receives reassigned benefits from 1 practitioner
Practice locations: Wilton Manors, FL

National Provider Directory

National Provider Directory

Locations

2312 Wilton Dr
Ste 28
Wilton Manors, FL 33305
Phone (954) 536-7735

1201 NE 26th St
Ste 106
Wilton Manors, FL 33305
Phone (754) 799-3852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1912778416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 NE 3RD AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341673",
            "telephone_number": "786-503-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 106",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "754-799-3852",
            "fax_number": "754-799-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JOURNEY CHIROPRACTOR AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "WIEST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "754-799-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DIBCN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1871279547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.