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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST PETERSBURG CHIROPRACTIC PLLC
NPI 1609684190
Chiropractor in St Petersburg, FL

Active since December 30, 2024
2121 5TH AVE N, ST PETERSBURG, FL 33713(727) 492-4697 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Dec 30, 2024 (2 updates tracked since 2024).

About St Petersburg Chiropractic Pllc NPPES

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

ST PETERSBURG CHIROPRACTIC PLLC (NPI 1609684190) is a healthcare organization registered as a chiropractor in St Petersburg, Florida and active in the NPI registry since December 2024. The organization lists Bryane Heaberlin, Manager, as its authorized official.

NPPES Registry Identity

NPI1609684190
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameST PETERSBURG CHIROPRACTIC PLLC
Location Address2121 5TH AVE NSt Petersburg, FL 33713-8013
Mailing Address2121 5th Ave NSt Petersburg, FL 33713-8013 · (727) 492-4697
Phone(727) 492-4697
Organization SubpartNo
Authorized OfficialBryane HeaberlinManager · (727) 492-4697
Enumeration DateDecember 30, 2024
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1609684190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2121 5TH AVE N, St Petersburg, FL 33713
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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

Other Providers at the Same Location NPPES 2

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

RUSH MEDICAL LLC
Acupuncturist
2121 5TH AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (407) 505-7904
DR. CHRISTOPHER RUSH D.O.M. A.P.
Acupuncturist
2121 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (407) 505-7904

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 St Petersburg Chiropractic PLLC's NPI number?

The NPI number for St Petersburg Chiropractic PLLC is 1609684190. It was assigned to this organization in the NPPES registry on December 30, 2024.

Where is St Petersburg Chiropractic PLLC located?

St Petersburg Chiropractic PLLC is located at 2121 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 492-4697.

What is St Petersburg Chiropractic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for St Petersburg Chiropractic PLLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.