Journey Spinal Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JOURNEY SPINAL CARE LLC

Practice address

4015 W 1St St
Sanford, FL 32771

Phone

(321) 926-4565

Fax

(321) 926-4566

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Sammer Yacoub, D.C.

Title

Owner/Manager

Phone

(330) 240-7247

Specialties & licenses 1

Addresses

Other names 1

• Journey Spinal Care Doing business as

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1992481964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "321-926-4565",
            "fax_number": "321-926-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "321-926-4565",
            "fax_number": "321-926-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY SPINAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "SAMMER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "330-240-7247",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Boyle Inc
• Meena A Joseph, M.D.
• S K Joshi, M.D., P.A.
• Candace Joshnick
• Josie Velasco OD PA
• K and L Therapy Inc.
• Nandeni Kanhoye
• Debra Kardosh
• Jasleen Kaur
• Kamaljit Kaur, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.