Individual provider Active NPI

London Taylor Grodzicki, D.C.

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1922846328
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15099 Issued in FL
Practice address
10910 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8406
Phone
(941) 799-7207
NPI assigned
Jul 18, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15099 FL Primary

Addresses

Primary practice location

10910 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8406

Mailing address

10910 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8406

Other names 1

  • London Taylor Mardney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127000283 FL Practitioner - Chiropractic 8325573348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adjust Your Life Chiropractic LLCGroup PAC ID 4284886987, 6 clinicians

Practice addresses (Care Compare)

10910 State Route 70 E
Suite 101
Bradenton, FL 34202
Phone (941) 799-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15099FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Your Life Chiropractic, LLC Chiropractor CurrentSince Sep 6, 2024 Accepting new patients
Adjust Your Life Chiropractic Parrish Chiropractor PastSince Oct 20, 2019 Accepting new patients
Adjust Your Life Chiropractic Sarasota LLC Chiropractor PastSince Oct 9, 2022 Accepting new patients

Locations

10910 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 749-7207

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1922846328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 STATE ROAD 70 E STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 STATE ROAD 70 E STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028406",
            "telephone_number": "941-799-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODZICKI",
        "first_name": "LONDON",
        "middle_name": "TAYLOR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-01-29",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LONDON",
            "last_name": "MARDNEY",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.