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ADVANCED WELLNESS & SPORTS REHAB, LLC
NPI 1134481005
Chiropractor - Sports Physician in Dade City, FL

Active since June 15, 2012
14028 5TH ST, DADE CITY, FL 33525(352) 600-2232(352) 292-0136 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2019, Jan 24, 2019 (2 updates tracked since 2019).

About Advanced Wellness & Sports Rehab, Llc NPPES

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

ADVANCED WELLNESS & SPORTS REHAB, LLC (NPI 1134481005) is a healthcare organization registered as a sports physician in Dade City, Florida and active in the NPI registry since June 2012. The organization maintains 2 additional practice locations and lists Philip A Snyder, Owner, as its authorized official.

NPPES Registry Identity

NPI1134481005
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameADVANCED WELLNESS & SPORTS REHAB, LLC
Location Address14028 5TH STDade City, FL 33525
Mailing Address14028 5th StDade City, FL 33525-4311 · (352) 600-2232 · Fax (352) 292-0136
Phone(352) 600-2232
Fax(352) 292-0136
Organization SubpartNo
Authorized OfficialPhilip A SnyderOwner · (724) 875-2460
Enumeration DateJune 15, 2012
Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration
✔ NPI 1134481005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in FL · CH10458
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
14028 5TH ST, Dade City, FL 33525
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Secondary Practice Locations 2

Location 114028 5th StDade City, FL 33525 · Phone (352) 600-2232 · Fax (352) 292-0136
Location 25413 George St Ste 1New Port Richey, FL 34652-4101 · Phone (352) 600-2232 · Fax (300) 292-0136

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Advanced Wellness & Sports Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Wellness & Sports Rehab, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Philip Snyder, D.C.
Chiropractic
NPI 1942586466
14028 5TH ST
Dade City, FL 33525
(352) 600-2232
✔ Accepts MedicareSame address

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 Advanced Wellness & Sports Rehab, LLC's NPI number?

The NPI number for Advanced Wellness & Sports Rehab, LLC is 1134481005. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is Advanced Wellness & Sports Rehab, LLC located?

Advanced Wellness & Sports Rehab, LLC is located at 14028 5th St, Dade City, FL 33525. The listed phone number is (352) 600-2232.

What is Advanced Wellness & Sports Rehab, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Advanced Wellness & Sports Rehab, LLC enrolled in Medicare?

Yes. Advanced Wellness & Sports Rehab, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Wellness & Sports Rehab, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Advanced Wellness & Sports Rehab, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Wellness & Sports Rehab, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Wellness & Sports Rehab, LLC 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 Advanced Wellness & Sports Rehab, LLC was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.