FORTITUDE FAMILY CHIROPRACTIC LLC
NPI 1629705132
Chiropractor in Jacksonville, FL

Active since August 04, 2022
10915 BAYMEADOWS RD STE 104, JACKSONVILLE, FL 32256(904) 312-7575 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fortitude Family Chiropractic Llc NPPES

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

FORTITUDE FAMILY CHIROPRACTIC LLC (NPI 1629705132) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since August 2022. The organization lists Matthew Rauco, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1629705132
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORTITUDE FAMILY CHIROPRACTIC LLC
Location Address10915 BAYMEADOWS RD STE 104Jacksonville, FL 32256-9131
Mailing Address4423 Huntington Forest BlvdJacksonville, FL 32257-7570 · (904) 316-3404
Organization SubpartNo
Authorized OfficialMatthew RaucoOwner/provider · (904) 316-3404
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1629705132 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.
10915 BAYMEADOWS RD STE 104, Jacksonville, FL 32256

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

Accepted 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)

Fortitude Family Chiropractic Llc 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 Fortitude Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1417684994
10915 BAYMEADOWS RD STE 104
Jacksonville, FL 32256
(904) 312-7575
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 Fortitude Family Chiropractic LLC's NPI number?

The NPI number for Fortitude Family Chiropractic LLC is 1629705132. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Fortitude Family Chiropractic LLC located?

Fortitude Family Chiropractic LLC is located at 10915 Baymeadows Rd Ste 104, Jacksonville, FL 32256. The listed phone number is (904) 312-7575.

What is Fortitude Family Chiropractic LLC's specialty?

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

Is Fortitude Family Chiropractic LLC enrolled in Medicare?

Yes. Fortitude Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fortitude Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fortitude Family Chiropractic LLC. 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 Fortitude Family Chiropractic LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fortitude Family Chiropractic LLC 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 Fortitude Family Chiropractic LLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.