Treasure Coast Spine Institute, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TREASURE COAST SPINE INSTITUTE, INC.

Practice address

3880 SE Dixie Hwy
Stuart, FL 34997-6055

Phone

(772) 219-1456

Fax

(772) 219-1449

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Johnson Vicknair, D.C.

Title

Director

Phone

(772) 219-1456

Specialties & licenses 1

Addresses

Practitioners 2

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

• Cynthia M. Johnson, D.C.

  • Chiropractor
  • Stuart, FL
  • NPI 1972663169
  NPD (past)
• Susan A. Windland, D.C.

  • Chiropractor
  • Stuart, FL
  • NPI 1386704583
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922211713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE DIXIE HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976055",
            "telephone_number": "772-219-1456",
            "fax_number": "772-219-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE DIXIE HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976055",
            "telephone_number": "772-219-1456",
            "fax_number": "772-219-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST SPINE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICKNAIR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-219-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Psychiatry, LLC
• Treasure Coast Psychology, Inc.
• Treasure Coast Radiation Oncology PA
• Treasure Coast Recovery, LLC
• Treasure Coast Speech and Language Services LLC
• Treasure Coast Spine Institute, LLC
• Treasure Coast Surgery Center, LLC (Treasure Coast Center for Surgery)
• Treasure Coast Surgery, Inc. (Treasure Coast Center for Surgery)
• Treasure Coast Surgical Group
• Treasure Coast Wellness Center LLC

• Chiropractor in Stuart, FL
• Providers in Stuart, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.