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TY CROUCH DC
NPI 1477400455
Chiropractor in Port St Lucie, FL

Active since March 11, 2026Accepts Medicare Assignment
1680 SE LYNGATE DR, PORT ST LUCIE, FL 34952(772) 773-7055 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Crouch Dc NPPES

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

TY CROUCH DC (NPI 1477400455) is an individual chiropractor in Port St Lucie, Florida, licensed in Florida (15834) and active in the NPI registry since March 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1477400455
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTY CROUCHCredential: DC
Location Address1680 SE LYNGATE DRPort St Lucie, FL 34952-4300
Mailing Address3038 Sunrise BlvdFort Pierce, FL 34982-6113 · (772) 979-4615
Phone(772) 773-7055
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1477400455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 15834
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.
1680 SE LYNGATE DR, Port St Lucie, FL 34952
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ty Crouch Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688159569
PECOS Enrollment IDI20260328000502

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ROMANS LCSW
Social Worker (Clinical)
1680 SE LYNGATE DR, SUITE 201
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9808
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1680 SE LYNGATE DR, STE. 101 CKD SERVICES OF PT. ST. LUCIE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-2407
AMEDISYS SOUTH FLORIDA, LLC
Home Health
1680 SE LYNGATE DR, SUITE 204
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5117
MEDICAL RISK SOLUTIONS
Family Medicine
1680 SE LYNGATE DR
PORT ST LUCIE, FL 34952
St. Lucie County (772) 462-2723
CASSANDRA GIBBS HICKS ARNP NP-C
Nurse Practitioner (Family)
1680 SE LYNGATE DR
FORT PIERCE, FL 34952
St. Lucie County (772) 335-9808
ALEXANDRIA COUGHLIN PA-C
Physician Assistant
1680 SE LYNGATE DR
PORT ST LUCIE, FL 34952
St. Lucie County (772) 300-9090
AMEDISYS SOUTH FLORIDA, LLC
Home Health
1680 SE LYNGATE DR, SUITE 204
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5117
PATRICIA LUCY SPADA-ELMASIAN P.T.
Physical Therapist
1680 SE LYNGATE DR, SUITE 203
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-7966

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 Ty Crouch's NPI number?

The NPI number for Ty Crouch is 1477400455. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Ty Crouch located?

Ty Crouch practices at 1680 SE Lyngate Dr, Port St Lucie, FL 34952. The listed phone number is (772) 773-7055.

What is Ty Crouch's specialty?

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

Is Ty Crouch enrolled in Medicare?

Yes. Ty Crouch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ty Crouch was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.