Performance and Wellness Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11621 Issued in FL

Legal business name

PERFORMANCE AND WELLNESS CHIROPRACTIC INC.

Practice address

11211 Prosperity Farms Rd Unit A10
Palm Beach Gardens, FL 33410-3446

Phone

(561) 402-4701

Fax

(561) 720-2056

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Dilallo, DC, MA, CSCS

Title

President

Phone

(303) 718-8562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1932576360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE A101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103479",
            "telephone_number": "561-402-4701",
            "fax_number": "561-720-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD UNIT A10",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-402-4701",
            "fax_number": "561-720-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE AND WELLNESS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "DILALLO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-718-8562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MA, CSCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Perez, D.M.D
• Nilda Perez
• Raul A Perez, DMD, MS
• Sussi F. Perez, M.S.,M.ED. LMHC
• Vanessa Marie Perez, PA-C
• Performance Spine & Sport Rehabilitation Inc
• Leslie H Perla, MD
• Roselandy Perou
• Perry Family Health Incorporated
• Elizabeth Anne Perry, AP, DOM

• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.