HEALTHSOURCE OF FORT WALTON BEACH SOUTH
NPI 1891862322
Chiropractor - Sports Physician in Mary Esther, FL

Q: What is Suncoast Healthcare Professionals PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since November 29, 2006

431 E HOLLYWOOD BLVD, MARY ESTHER, FL 32569(850) 864-5300 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Healthsource Of Fort Walton Beach South NPPES

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

HEALTHSOURCE OF FORT WALTON BEACH SOUTH (NPI 1891862322) is a healthcare organization registered as a sports physician in Mary Esther, Florida and active in the NPI registry since November 2006. The organization lists Sarah Lynn Swisher-leatherman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891862322

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameSUNCOAST HEALTHCARE PROFESSIONALS PLLC

Location Address431 E HOLLYWOOD BLVDMary Esther, FL 32569-2058

Mailing Address431 E Hollywood BlvdMary Esther, FL 32569-2058 · (850) 864-5300

Phone(850) 864-5300

Organization SubpartNo

Authorized OfficialSarah Lynn Swisher-leathermanOwner · (850) 864-5300

Enumeration DateNovember 29, 2006

Last NPPES UpdateApril 30, 2024

NPPES CertifiedApril 30, 2024

✔ NPI 1891862322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in FL · 8740

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

431 E HOLLYWOOD BLVD, Mary Esther, FL 32569

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Other Names 1

Doing Business AsHealthsource Of Fort Walton Beach South

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Fort Walton Beach South is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Healthsource Of Fort Walton Beach South, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Trenten Weser, D.C.

Chiropractic

NPI 1780535351

431 E HOLLYWOOD BLVD
Mary Esther, FL 32569

(937) 903-2735

Same address

Jeffery Leatherman, D.C.

Chiropractic

NPI 1679640155

431 E HOLLYWOOD BLVD
Mary Esther, FL 32569

(850) 864-5300

✔ Accepts MedicareSame address

Shaun Kahn, DC

Chiropractic

NPI 1235249657

4481 LEGENDARY DR STE 150
Destin, FL 32541

(850) 424-7856

✔ Accepts Medicare14 mi

Samuel Schepart

Chiropractic

NPI 1528536901

2029 OSPREY LN STE B
Lutz, FL 33549

(813) 254-2500

✔ Accepts Medicare296 mi

David Bak, D.C.

Chiropractic

NPI 1861838690

5910 BETHELVIEW RD STE C
Cumming, GA 30040

(770) 573-2777

296 mi

Adam Zylberman, DC

Chiropractic

NPI 1659017762

101 CRAWFORDS CORNER RD
Holmdel, NJ 07733

(732) 226-0018

981 mi

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 Suncoast Healthcare Professionals PLLC's NPI number?

The NPI number for Suncoast Healthcare Professionals PLLC is 1891862322. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Healthsource Of Fort Walton Beach South.

Where is Suncoast Healthcare Professionals PLLC located?

Suncoast Healthcare Professionals PLLC is located at 431 E Hollywood Blvd, Mary Esther, FL 32569. The listed phone number is (850) 864-5300.

What is Suncoast Healthcare Professionals PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Suncoast Healthcare Professionals PLLC enrolled in Medicare?

Yes. Suncoast Healthcare Professionals PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suncoast Healthcare Professionals PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Suncoast Healthcare Professionals PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suncoast Healthcare Professionals PLLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.