JUPITER HEALTHCARE (NPI# 1750447397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750447397 |
| Entity Type | Organization |
| Organization Name | JUPITER HEALTHCARE |
| Practice Address |
125 W Indiantown Rd Suite 105 Jupiter FL 33458-3539 |
| Practice Telephone | 5617417575 |
| Practice Fax Number | 5617417155 |
| Mailing Telephone | 5617417575 |
| Mailing Fax Number | 5617417155 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | DR. JOSEPH TODD BOUDREAU (MANAGING PARTNER) |
| Authorized Official Telephone | 5617417575 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP # | 74811 | 01 |
| Street Address |
125 W INDIANTOWN RD SUITE 105 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487686606 | Pain Care Specialists of The Palm Beaches Inc | Anesthesiology | 125 W Indiantown Rd, Suite 103, Jupiter, FL 33458-3539 | 2006-07-07 |
| 1942611413 | Nancy Marie Vrechek | Clinic/Center | 125 W Indiantown Rd, Ste 203a, Jupiter, FL 33458-3556 | 2014-05-18 |
| 1245660893 | Skipper Harvey | Psychologist | 125 W Indiantown Rd, Suite 203-a, Jupiter, FL 33458-3556 | 2013-11-18 |
| 1548514318 | John Daniel Grassi | Massage Therapist | 125 W Indiantown Rd, #102, Jupiter, FL 33458-3556 | 2012-11-01 |
| 1114221595 | Erin Beth Tamashiro | Occupational Therapist | 125 W Indiantown Rd, Suite 104, Jupiter, FL 33458-3556 | 2010-12-29 |
| 1396996450 | Anthony A Spaniol | Psychologist | 125 W Indiantown Rd, Suite 203-a, Jupiter, FL 33458-3556 | 2008-10-08 |
| 1578754248 | James Mcerlain Dc Pa | Physical Therapist | 125 W Indiantown Rd, Suite 105, Jupiter, FL 33458-3539 | 2007-08-07 |
| 1689790107 | The Palm Beach Music Therapy Institute | Music Therapist | 125 W Indiantown Rd, Suite 204 B, Jupiter, FL 33458-3539 | 2007-03-22 |
| 1417045527 | Sumant K Chakravorty | Internal Medicine | 125 W Indiantown Rd, Suite 106, Jupiter, FL 33458-3556 | 2006-10-11 |
| 1982799003 | James Francis Mcerlain Iv | Chiropractor | 125 W Indiantown Rd, Suite 105, Jupiter, FL 33458-3539 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| 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 |
|---|---|---|---|---|
| 1629684022 | Cody Christopher Grigsby | Chiropractor | 1200 Town Center Dr Ste 119, Jupiter, FL 33458-5257 | 2020-09-21 |
| 1023669033 | Andri Dagnyjarson | Chiropractor | 4601 Military Trl Ste 209, Jupiter, FL 33458-4837 | 2019-09-23 |
| 1609425693 | Ryan Price | Chiropractor | 3893 Military Trl Ste 2, Jupiter, FL 33458-2936 | 2019-09-11 |
| 1235781618 | Jodelle Mcfarland | Chiropractor | 5500 Military Trl Ste 22-219, Jupiter, FL 33458-2869 | 2019-07-15 |
| 1508360355 | Wasserman Chiropractic of Palm Beach, LLC | Chiropractor | 2151 S Highway A1a Alt Ste 600, Jupiter, FL 33477-4064 | 2018-03-19 |
| 1508368713 | Injury Centers of Tennessee LLC | Chiropractor | 725 N Highway A1a Ste C112, Jupiter, FL 33477-4565 | 2018-03-03 |
| 1215307574 | Craig Williams | Chiropractor | 5456 Hibiscus Rd, Jupiter, FL 33458-3427 | 2015-09-30 |
| 1861802530 | Michael Laurens Masucci | Chiropractor | 1701 Military Trl Ste 145b, Jupiter, FL 33458-6330 | 2014-05-05 |
| 1730528092 | Kevin Michael Kustarz | Chiropractor | 6743 W Indiantown Rd Ste 37, Jupiter, FL 33458-3987 | 2013-06-20 |
| 1811236656 | Sport & Spinal Rehab LLC | Chiropractor | 103 S Us Highway 1 Ste B4, Jupiter, FL 33477-5101 | 2013-02-13 |
| Find all providers in JUPITER | ||||
Please comment or provide details below to improve the information on JUPITER HEALTHCARE.
| 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.