PONTE VEDRA CHIROPRACTIC MEDICINE & PHYSICAL THERAPY, INC.
NPI 1073799870
Chiropractor in Ponte Vedra Beach, FL

Q: What is Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since January 11, 2008

240 PONTE VEDRA PARK DR, SUITE 150, PONTE VEDRA BEACH, FL 32082(904) 285-2243(904) 285-9022 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONTE VEDRA CHIROPRACTIC MEDICINE & PHYSICAL THERAPY, INC. (NPI 1073799870) is a healthcare organization registered as a chiropractor in Ponte Vedra Beach, Florida and active in the NPI registry since January 2008. The organization lists Richard G. Packo, President, as its authorized official.

NPPES Registry Identity

NPI1073799870

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePONTE VEDRA CHIROPRACTIC MEDICINE & PHYSICAL THERAPY, INC.

Location Address240 PONTE VEDRA PARK DR, SUITE 150Ponte Vedra Beach, FL 32082-6601

Mailing Address240 Ponte Vedra Park Dr, Suite 150Ponte Vedra Beach, FL 32082-6601 · (904) 285-2243 · Fax (904) 285-9022

Phone(904) 285-2243

Fax(904) 285-9022

Organization SubpartNo

Authorized OfficialRichard G. PackoPresident · (904) 285-2243

Enumeration DateJanuary 11, 2008

Last NPPES UpdateDecember 2, 2016

✔ NPI 1073799870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH6259

Definition

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.

240 PONTE VEDRA PARK DR, Ponte Vedra Beach, FL 32082

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc.'s NPI number?

The NPI number for Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc. is 1073799870. It was assigned to this organization in the NPPES registry on January 11, 2008.

Where is Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc. located?

Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc. is located at 240 Ponte Vedra Park Dr Suite 150, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 285-2243.

What is Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Chiropractic Medicine & Physical Therapy, Inc. was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.