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BAYSIDE SPORT & SPINE PLLC
NPI 1679374110
Chiropractor in St Petersburg, FL

Active since March 21, 2025
5415 4TH ST N, ST PETERSBURG, FL 33703(727) 521-4244 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Mar 21, 2025 (2 updates tracked since 2025).

About Bayside Sport & Spine Pllc NPPES

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

BAYSIDE SPORT & SPINE PLLC (NPI 1679374110), doing business as Sea Change Chiropractic, is a healthcare organization registered as a chiropractor in St Petersburg, Florida and active in the NPI registry since March 2025. The organization lists Ross J Revella, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1679374110
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBAYSIDE SPORT & SPINE PLLC
Location Address5415 4TH ST NSt Petersburg, FL 33703-2249
Mailing Address5415 4th St NSt Petersburg, FL 33703-2249 · (727) 521-4244
Phone(727) 521-4244
Organization SubpartNo
Authorized OfficialRoss J RevellaOwner/chiropractor · (330) 261-3802
Enumeration DateMarch 21, 2025
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1679374110 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.
5415 4TH ST N, St Petersburg, FL 33703
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Other Names 1

Doing Business AsSea Change Chiropractic

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 3

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

UMBRA INC
Pharmacy (Community/Retail Pharmacy)
5415 4TH ST N
ST PETERSBURG, FL 33703
Pinellas County (727) 329-8798
ROSS REVELLA DC
Chiropractor
5415 4TH ST N
ST PETERSBURG, FL 33703
Pinellas County (727) 521-4244
DR. JENNIFER BAYLOR DC
Chiropractor
5415 4TH ST N
ST PETERSBURG, FL 33703
Pinellas County (727) 521-4244

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 Bayside Sport & Spine PLLC's NPI number?

The NPI number for Bayside Sport & Spine PLLC is 1679374110. It was assigned to this organization in the NPPES registry on March 21, 2025. The provider is doing business as Sea Change Chiropractic.

Where is Bayside Sport & Spine PLLC located?

Bayside Sport & Spine PLLC is located at 5415 4th St N, St Petersburg, FL 33703. The listed phone number is (727) 521-4244.

What is Bayside Sport & Spine 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 Bayside Sport & Spine PLLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.