Individual provider Active NPI

Rachel Wolfe, DC

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1962085332
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13396 Issued in FL
Practice address
6771 Professional Pkwy Ste 102
Lakewood Ranch, FL 34240-8460
Phone
(941) 702-0553
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13396 FL Primary

Addresses

Primary practice location

6771 Professional Pkwy Ste 102
Lakewood Ranch, FL 34240-8460

Mailing address

6771 Professional Pkwy Ste 102
Lakewood Ranch, FL 34240-8460
Phone (941) 702-0553

Other names 1

  • Dr. Rachel Glubiak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001225 FL Practitioner - Chiropractic 1052752532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13396FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Body Chiropractic Clinic Chiropractor CurrentSince Apr 12, 2024 Accepting new patients

Locations

6771 Professional Pkwy
Ste 102
Lakewood Ranch, FL 34240
Phone (941) 702-0553

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962085332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 PROFESSIONAL PKWY STE 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408460",
            "telephone_number": "941-702-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 PROFESSIONAL PKWY STE 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408460",
            "telephone_number": "941-702-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GLUBIAK",
            "prefix": "DR.",
            "credential": "DC",
            "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 Jun 11, 2024; 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.