Neurosport Elite, PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH5188 Issued in FL

Legal business name

NEUROSPORT ELITE, PA

Practice address

10650 W State Road 84
Suite 111
Davie, FL 33324-4235

Phone

(954) 800-5017

Fax

(954) 796-1491

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alan Lewin, D.C.

Title

Vice President

Phone

(954) 205-3479

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1932572526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84",
            "address_2": "SUITE 111",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "954-800-5017",
            "fax_number": "954-796-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84",
            "address_2": "SUITE 111",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "954-800-5017",
            "fax_number": "954-796-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPORT ELITE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-205-3479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH5188",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH6275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro Circuit Centers LLC
• Neurocity Junction, LLC
• Neurocity Tbi, LLC (Neurocity)
• Neurodiagnostic Advances LLC (NovaScan Neuroimaging Clinics)
• Neuroplasticity Ventures LLC (Neurocity Junction)
• Rachel Neuwirth, LMHC
• David H Nevel, BCBA
• Never Alone Care at Home
• New Beginnings Counseling Center
• New Beginnings Recovery

• Sports Physician Chiropractor in Davie, FL
• Providers in Davie, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.