Terrapin Chiropractic Inc
Organization Active NPI Chiropractor · Wellington, FL
NPI 1962931741 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1962931741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH11533 (FL)
- Legal business name
- TERRAPIN CHIROPRACTIC INC
- Practice address
- 13861 Folkestone Cir Apt D
Wellington, FL 33414-7829 - Phone
- (585) 576-7890
- Fax
- (585) 576-7890
- NPI assigned
- Jun 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Shelley Moore, DC
- Title
- President
- Phone
- (585) 576-7890
Practitioners 1
-
Shelley Anderson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171117000466 | FL | Part B Supplier - Clinic/Group Practice | 0648536078 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Pierce, FL |
National Provider Directory
Locations
778 W Midway Rd
Fort Pierce, FL 34982
Phone (585) 576-7890
301 S US Highway 1
Ste 2
Fort Pierce, FL 34950
Phone (585) 576-7890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH11533 | FL | Yes |
| Chiropractor |
111N00000X | 012687 | NY |
Addresses
Primary practice location
13861 Folkestone Cir Apt D
Wellington, FL 33414-7829
Mailing address
13861 Folkestone Cir Apt D
Wellington, FL 33414-7829
Phone (585) 576-7890
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.