Organization Active NPI

Elite Therapy and Wellness PSL LLC

  • Rehabilitation Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1992432231
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ELITE THERAPY AND WELLNESS PSL LLC
Practice address
5483 NW Saint James Dr
Port St Lucie, FL 34983-3444
Phone
(561) 320-9302
Fax
(561) 320-9305
NPI assigned
Aug 5, 2022
Organization subpart
Yes
Parent organization
ELITE THERAPY AND WELLNESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Amy Smith
Title
Office Manager
Phone
(561) 320-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

5483 NW Saint James Dr
Port St Lucie, FL 34983-3444

Mailing address

2151 S Alternate A1A Ste 650
Jupiter, FL 33477-4097
Phone (561) 320-9302

Other practice location 1

3893 Military Trl Ste 2
Jupiter, FL 33458-2936
Phone (561) 320-9302

Other practice location 2

2151 S Alternate A1A Ste 650
Jupiter, FL 33477-4097
Phone (561) 320-9302

Other names 1

  • Dr Jordan S Zabriskie LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Elite Therapy Wellness Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1992432231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S ALTERNATE A1A STE 650",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774097",
            "telephone_number": "561-320-9302",
            "fax_number": "561-320-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5483 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "561-320-9302",
            "fax_number": "561-320-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3893 Military Trl Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582936",
            "country_code": "US",
            "telephone_number": "561-320-9302",
            "fax_number": "561-320-9305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 S Alternate A1A Ste 650",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334774097",
            "country_code": "US",
            "telephone_number": "561-320-9302",
            "fax_number": "561-320-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE THERAPY AND WELLNESS PSL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE THERAPY AND WELLNESS INC",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-320-9302"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jordan S Zabriskie LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.