Anthony Iselborn, DC PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

ANTHONY ISELBORN, DC PA

Doing business as

Iselborn Chiropractic & Sports Medicine

Practice address

3355 Hendricks Ave
Jacksonville, FL 32207-5301

Phone

(904) 731-3000

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J Iselborn, DC,ATCNPI 1386730380

Title

President

Phone

(904) 731-3000

Specialties & licenses 2

Addresses

Other names 2

• ISELBORN CHIROPRACTIC & SPORTS MEDICINE Doing business as
• ISELBORN CHIROPRACTIC & PHYSICAL THERAPY Other name

Electronic endpoints 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Iselborn, DC,ATC,DACBSP,CSCS

  • Sports Physician Chiropractor
  • Jacksonville, FL
  • NPI 1386730380
  NPD Authorized official
• Bryce Michael Mrakovich, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1184421745
  NPD
• Nathaniel Edwin Stegehuis, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1821654062
  NPD (past)
• Kaitlyn Buss, PT, DPT, MHA

  • Physical Therapist
  • Marietta, GA
  • NPI 1427549203
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1992398721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075301",
            "telephone_number": "904-731-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY ISELBORN, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "ISELBORN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-731-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "904-731-3000",
            "affiliation": "N",
            "address_1": "3355 Hendricks Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322075301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "904-731-3000",
            "affiliation": "N",
            "address_1": "3355 Hendricks Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322075301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "904-731-3000",
            "affiliation": "N",
            "address_1": "3355 Hendricks Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322075301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ISELBORN CHIROPRACTIC & SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ISELBORN CHIROPRACTIC & PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holly M. Antal, PHD
• Mohamed Hisham Antar, MD
• Nicole Nicholas Antar
• Stephen Anter
• Anthem Lakes
• Anthony J Potochick OD PA (5 Points Eye Associates)
• Anthony R. Petrone, DMD, P.a. (Lane Avenue Family Dentistry)
• Deborah Ellen Anthony, LMHC
• Frank N Anthony, MD
• Lauren Anthony, LCSW

• Sports Physician Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.