ORLANDO SPINE AND WELLNESS CENTER
NPI 1104215706
Chiropractor in Orlando, FL

Active since January 20, 2015
13802 LANDSTAR BLVD, SUITE 107, ORLANDO, FL 32824(321) 234-0124(321) 280-1029 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2015, Sep 28, 2015 (2 updates tracked since 2015).

About Orlando Spine And Wellness Center NPPES

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

ORLANDO SPINE AND WELLNESS CENTER (NPI 1104215706) is a healthcare organization registered as a chiropractor in Orlando, Florida and active in the NPI registry since January 2015. The organization lists Michael Thorn Bowerman, President, as its authorized official.

NPPES Registry Identity

NPI1104215706
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameORLANDO SPINE AND WELLNESS CENTER
Location Address13802 LANDSTAR BLVD, SUITE 107Orlando, FL 32824-5500
Mailing Address13802 Landstar Blvd, 107Orlando, FL 32824-5500 · (321) 234-0124 · Fax (321) 280-1029
Fax(321) 280-1029
Organization SubpartNo
Authorized OfficialMichael Thorn BowermanPresident · (407) 446-6687
Enumeration DateJanuary 20, 2015
Last NPPES UpdateDecember 7, 20152 updates tracked since enumeration
✔ NPI 1104215706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH11337
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.
13802 LANDSTAR BLVD, Orlando, FL 32824

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orlando Spine And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Orlando Spine And Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1619373149
13802 LANDSTAR BLVD SUITE 107
Orlando, FL 32824
(407) 446-6687
✔ Accepts MedicareSame address
Chiropractic
NPI 1427715697
1400 S ORLANDO AVE STE 310
Winter Park, FL 32789
(689) 350-9170
15 mi
Chiropractic
NPI 1689070575
940 CENTRE CIRCLE SUITE 1018
Altamonte Springs, FL 32714
(407) 789-0600
22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orlando Spine And Wellness Center's NPI number?

The NPI number for Orlando Spine And Wellness Center is 1104215706. It was assigned to this organization in the NPPES registry on January 20, 2015.

Where is Orlando Spine And Wellness Center located?

Orlando Spine And Wellness Center is located at 13802 Landstar Blvd Suite 107, Orlando, FL 32824. The listed phone number is (321) 234-0124.

What is Orlando Spine And Wellness Center's specialty?

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

Is Orlando Spine And Wellness Center enrolled in Medicare?

Yes. Orlando Spine And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orlando Spine And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Orlando Spine And Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orlando Spine And Wellness Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Orlando Spine And Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orlando Spine And Wellness Center was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.