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COAST SPINE CENTER
NPI 1225437080
Chiropractor - Rehabilitation in Stuart, FL

Active since August 18, 2014
518 SE OSCEOLA ST, STUART, FL 34994(772) 873-8595(772) 873-8597 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coast Spine Center NPPES

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

COAST SPINE CENTER (NPI 1225437080) is a healthcare organization registered as a rehabilitation in Stuart, Florida and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Port St Lucie and lists John Irvin Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1225437080
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameACTIVE LIFE CHIROPRACTIC, PLLC
Location Address518 SE OSCEOLA STStuart, FL 34994-2322
Mailing Address518 Se Osceola StStuart, FL 34994-2322 · (772) 873-8595 · Fax (772) 873-8597
Phone(772) 873-8595
Fax(772) 873-8597
Organization SubpartNo
Authorized OfficialJohn Irvin BrownOwner · (772) 873-8595
Enumeration DateAugust 18, 2014
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1225437080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in FL · CH 11181
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
518 SE OSCEOLA ST, Stuart, FL 34994
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Other Names 1

Doing Business AsCoast Spine Center

Secondary Practice Location 1

Location 18631 S US Highway 1Port St Lucie, FL 34952-3331 · Phone (772) 873-8595

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coast Spine 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 Coast Spine Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Craig Jochum, APRN, DC, D.A.C.B.N.
Nurse Practitioner
NPI 1487780433
676 SE MONTEREY RD
Stuart, FL 34994
(561) 686-0120
✔ PECOS✔ Accepts Medicare1.6 mi
Dariana Hugh, DC
Chiropractic
NPI 1568776748
3040 HIGHLANDS PKWY SE E
Smyrna, GA 30082
(678) 831-0702
✔ Accepts Medicare522 mi
Lorri Simon
Physical Therapist in Private Practice
NPI 1245340124
28533 SPRING TRAILS RDG STE 112
Spring, TX 77386
(281) 301-5090
✔ Accepts Medicare941 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 Active Life Chiropractic, PLLC's NPI number?

The NPI number for Active Life Chiropractic, PLLC is 1225437080. It was assigned to this organization in the NPPES registry on August 18, 2014. The provider is doing business as Coast Spine Center.

Where is Active Life Chiropractic, PLLC located?

Active Life Chiropractic, PLLC is located at 518 SE Osceola St, Stuart, FL 34994. The listed phone number is (772) 873-8595.

What is Active Life Chiropractic, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Active Life Chiropractic, PLLC enrolled in Medicare?

Yes. Active Life Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Life Chiropractic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Active Life Chiropractic, PLLC, in Chiropractic, Nurse Practitioner and Physical Therapist in Private Practice. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Active Life Chiropractic, PLLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.