THE BODY SHOP CHIROPRACTIC AND WELLNESS PLLC (NPI# 1427684067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427684067 |
Entity Type | Organization |
Organization Name | THE BODY SHOP CHIROPRACTIC AND WELLNESS PLLC |
Practice Address |
790 4th Ave S St Petersburg FL 33701-4412 |
Practice Telephone | 3526309004 |
Mailing Telephone | 3526309004 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |
Authorized Official Name | DR. SARAH ELIZABETH BRUMBAUGH (OWNER) |
Authorized Official Telephone | 3526309004 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | CHIROPRACTIC LICENSE | 13038 | 01 |
FL | CHIROPRACTIC LICENSE | 13043 | 01 |
Other Name | Type Code |
---|---|
The Body Shop Chiropractic and Wellness | Doing Business As Name - Organization |
Street Address |
790 4TH AVE S |
City | ST PETERSBURG |
State | FL |
Zip Code | 33701-4412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
1922639004 | Kyle Ward | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
Find all providers in zip 33701 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390433 | Jessica Schofield | Chiropractor | 3202 9th St N, St Petersburg, FL 33704-1202 | 2020-09-10 |
1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
1114565504 | Debra Jane Roche | Chiropractor | 9100 9th St N Apt 508, St Petersburg, FL 33702-3077 | 2019-12-16 |
1841838620 | Ashley Therese Martin | Chiropractor | 556 1st Ave N, St Petersburg, FL 33701-3702 | 2019-12-12 |
1982169686 | Danielle Fortner | Chiropractor | 6044 30th Ave N, St Petersburg, FL 33710-3334 | 2019-02-06 |
1588150445 | Anas Anis Khalaf | Chiropractor | 6740 Crosswinds Dr N Ste A, St Petersburg, FL 33710-5472 | 2018-07-03 |
1316455009 | Welcome Home Family Chiropractic & Wellness Center, Pllc | Chiropractor | 3773 Central Ave, St Petersburg, FL 33713-8338 | 2018-01-16 |
1538696901 | Manuel Alvin Valverde | Chiropractor | 5203 Central Ave, St Petersburg, FL 33710-8141 | 2017-05-17 |
1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
1598201139 | Vicky Poulakis | Chiropractor | 3157 4th St N, St Petersburg, FL 33704-2124 | 2017-01-06 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33701 |
Please comment or provide details below to improve the information on THE BODY SHOP CHIROPRACTIC AND WELLNESS PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.