HEAVENLY TOUCH CHIROPRACTIC REHABILITATION
NPI 1609241884
Chiropractor in Lakeland, FL

Q: What is Heavenly Touch Chiropractic Rehabilitation's specialty?

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

Active since December 14, 2015

202 LAKE MIRIAM DR, SUITE W-3, LAKELAND, FL 33813(863) 647-0808 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Heavenly Touch Chiropractic Rehabilitation NPPES

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

HEAVENLY TOUCH CHIROPRACTIC REHABILITATION (NPI 1609241884) is a healthcare organization registered as a chiropractor in Lakeland, Florida and active in the NPI registry since December 2015. The organization lists Koteuaisa Wilson, Manager, as its authorized official.

NPPES Registry Identity

NPI1609241884

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameHEAVENLY TOUCH CHIROPRACTIC REHABILITATION

Location Address202 LAKE MIRIAM DR, SUITE W-3Lakeland, FL 33813-2180

Mailing Address202 Lake Miriam Dr, Suite W-3Lakeland, FL 33813-2180

Phone(863) 647-0808

Organization SubpartNo

Authorized OfficialKoteuaisa WilsonManager · (863) 647-0808

Enumeration DateDecember 14, 2015

✔ NPI 1609241884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X

202 LAKE MIRIAM DR, Lakeland, FL 33813

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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)

Heavenly Touch Chiropractic Rehabilitation 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 Heavenly Touch Chiropractic Rehabilitation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Koteuaisa Wilson, CH

Chiropractic

NPI 1295035558

202 LAKE MIRIAM DR STE W3
Lakeland, FL 33813

(863) 647-0808

Same 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 Heavenly Touch Chiropractic Rehabilitation's NPI number?

The NPI number for Heavenly Touch Chiropractic Rehabilitation is 1609241884. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Heavenly Touch Chiropractic Rehabilitation located?

Heavenly Touch Chiropractic Rehabilitation is located at 202 Lake Miriam Dr Suite W-3, Lakeland, FL 33813. The listed phone number is (863) 647-0808.

What is Heavenly Touch Chiropractic Rehabilitation's specialty?

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

Is Heavenly Touch Chiropractic Rehabilitation enrolled in Medicare?

Yes. Heavenly Touch Chiropractic Rehabilitation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heavenly Touch Chiropractic Rehabilitation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Heavenly Touch Chiropractic Rehabilitation. 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 Heavenly Touch Chiropractic Rehabilitation accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Heavenly Touch Chiropractic Rehabilitation 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 Heavenly Touch Chiropractic Rehabilitation was last updated on December 14, 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.