Organization Active NPI

Gateway Wellness and Rehab LLC

  • Chiropractor
  • Land O' Lakes, FL
National Provider Identifier
1952511693
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8982 Issued in FL
Legal business name
GATEWAY WELLNESS AND REHAB LLC
Practice address
6761 Land O Lakes Blvd
Land O Lakes, FL 34638-3234
Phone
(813) 929-8885
Fax
(813) 929-8932
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Robert Scott Malhoit, DCNPI 1245298314
Title
Owner
Phone
(813) 929-8885

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8982 FL Primary

Addresses

Primary practice location

6761 Land O Lakes Blvd
Land O Lakes, FL 34638-3234

Mailing address

6761 Land O Lakes Blvd
Land O Lakes, FL 34638-3234
Phone (813) 929-8885

Other names 1

  • Gateway Chiropractic Clinic LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000589 FL Part B Supplier - Clinic/Group Practice 5294737490 Receives reassigned benefits from 5 practitioners
Practice locations: Land O Lakes, FL

National Provider Directory

National Provider Directory

Locations

6761 Land O Lakes Blvd
Land O Lakes, FL 34638
Phone (813) 929-8555

4028 Little Rd
Ste B
New Port Richey, FL 34655
Phone (813) 929-8885

Practitioners & affiliated clinicians

Practitioners 6

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1952511693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6761 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383234",
            "telephone_number": "813-929-8885",
            "fax_number": "813-929-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6761 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383234",
            "telephone_number": "813-929-8885",
            "fax_number": "813-929-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY WELLNESS AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MALHOIT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-929-8885",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Chiropractic Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gateway Chiropractic Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.