Larry Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11613 Issued in FL

Practice address

800 W Platt St Ste 2
Tampa, FL 33606-4112

Phone

(813) 551-1313

Fax

(813) 515-5079

NPI assigned

Aug 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• L & L Wellness LLC

  • Chiropractor
  • Tampa, FL
  • NPI 1417414467
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1992171086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PLATT ST STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064112",
            "telephone_number": "813-551-1313",
            "fax_number": "813-515-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLATT ST STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064112",
            "telephone_number": "813-551-1313",
            "fax_number": "813-515-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LARRY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Anne Wilson, M.D.
• Kelsey Wilson, PA-C
• Kim Yvette Wilson, PHARMD, RPH
• Kimberly Lackey Wilson, RMHCI
• Kimberly Nicole Goss Wilson, M.D.
• Latisha Shamala Wilson, BEH TECHN ICIAN
• Lauren Ashley Wilson, PHARMD
• Lawrence Steven Wilson, MD.
• Leven Wilson II
• Mandi Wilson, M.S., CCC-SLP

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.