Chiropractic Sport and Family Wellness LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

CHIROPRACTIC SPORT AND FAMILY WELLNESS LLC

Practice address

13224 Sr 64
Bradenton, FL 34212-9403

Phone

(941) 777-2739

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nicole D Richardson-Sicre, DC

Title

Registered Agent

Phone

(571) 220-1362

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Danielle Richarson-Sicre, DC

  • Rehabilitation Chiropractor
  • Bradenton, FL
  • NPI 1730266644
  NPD
• Alexandre Michael Sicre, DC

  • Chiropractor
  • Bradenton, FL
  • NPI 1245317148
  NPD

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1992572986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 SR 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129403",
            "telephone_number": "941-777-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13224 SR 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129403",
            "telephone_number": "941-777-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPORT AND FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON-SICRE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "571-220-1362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Joseph Childs, MD
• Edith Ngozi Chinwuba
• Maureen Nkem Chinwuba, RPH
• Chiropractic and Rehabilitation Associates Inc
• Chiropractic Injury and Recovery Center Inc
• Joan Chitpasong
• Daphne Chiu, PA-C
• Julie Chorley, PA
• Christopher Chorman
• Chosen Home Health LLC

• Rehabilitation Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.