BACK N SHAPE SPORTSMED
NPI 1366505182
Chiropractor in Virginia Beach, VA

Active since December 19, 2006
3809 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456(757) 471-2800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Back N Shape Sportsmed NPPES

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

BACK N SHAPE SPORTSMED (NPI 1366505182) is a healthcare organization registered as a chiropractor in Virginia Beach, Virginia and active in the NPI registry since December 2006. The organization lists Joseph W Marcil, Owner, as its authorized official.

NPPES Registry Identity

NPI1366505182
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACK N SHAPE SPORTSMED
Location Address3809 PRINCESS ANNE RDVirginia Beach, VA 23456-1900
Mailing Address3809 Princess Anne RdVirginia Beach, VA 23456-1900 · (757) 471-2800
Organization SubpartNo
Authorized OfficialJoseph W MarcilOwner · (757) 471-2800
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366505182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001623
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.
3809 PRINCESS ANNE RD, Virginia Beach, VA 23456

Other Identifiers 1

Other115137VA · Anthem

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)

Back N Shape Sportsmed 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 Back N Shape Sportsmed, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1437186723
3809 PRINCESS ANNE RD
Virginia Beach, VA 23456
(757) 471-2800
✔ Accepts Medicare0.1 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 Back N Shape Sportsmed's NPI number?

The NPI number for Back N Shape Sportsmed is 1366505182. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Back N Shape Sportsmed located?

Back N Shape Sportsmed is located at 3809 Princess Anne Rd, Virginia Beach, VA 23456. The listed phone number is (757) 471-2800.

What is Back N Shape Sportsmed's specialty?

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

Is Back N Shape Sportsmed enrolled in Medicare?

Yes. Back N Shape Sportsmed is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back N Shape Sportsmed?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Back N Shape Sportsmed. 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.

When was this NPI record last updated?

The NPPES record for Back N Shape Sportsmed was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.