DR. JEFFERY SHAWN LEATHERMAN (NPI# 1679640155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679640155 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY SHAWN LEATHERMAN |
| Credential | D.C. |
| Practice Address |
431 E Hollywood Blvd Mary Esther FL 32569-2058 |
| Practice Telephone | 8508645300 |
| Practice Fax Number | 8508643900 |
| Mailing Telephone | 8508645300 |
| Mailing Fax Number | 8508643900 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
8740 | FL | Chiropractic Providers |
| Street Address |
431 E HOLLYWOOD BLVD |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326452608 | Leonard William Fabian IIi | Chiropractor | 431 E Hollywood Blvd, Mary Esther, FL 32569-2058 | 2014-06-16 |
| 1730521402 | Jeffery Clay Campbell | Chiropractor | 431 E Hollywood Blvd, Mary Esther, FL 32569-2058 | 2013-07-23 |
| 1104993609 | Sarah Lynn Swisher-leatherman | Chiropractor | 431 E Hollywood Blvd, Mary Esther, FL 32569-2058 | 2006-11-29 |
| 1891862322 | Suncoast Healthcare Professionals | Chiropractor | 431 E Hollywood Blvd, Mary Esther, FL 32569-2058 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| Find all providers in zip 32569 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| 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. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891862322 | Suncoast Healthcare Professionals | Chiropractor | 431 E Hollywood Blvd, Mary Esther, FL 32569-2058 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962946665 | Mark E. Baum, D.c. | Chiropractor | 6701 Sunset Dr Ste 209, South Miami, FL 33143-4529 | 2016-12-14 |
| 1386046928 | Leigh Ann Pauley | Chiropractor | 2816 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7368 | 2014-09-25 |
| 1205237286 | Americas Chiropractic & Wellness Ctr, LLC | Chiropractor | 8994 Taft St, Pembroke Pines, FL 33024-4668 | 2014-09-10 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1356778658 | Chiropractic Usa | Chiropractor | 2150 Nw 21st St, Miami, FL 33142-7318 | 2013-10-01 |
| 1326484718 | Mellman Chiropractic Group Pa | Chiropractor | 4263 Sw 64th Ave, Davie, FL 33314-3461 | 2013-05-13 |
| 1801138375 | Abundance Spa and Rehab, Inc | Chiropractor | 3650 Sw 10th St, 1-b, Deerfield Beach, FL 33442-5997 | 2013-03-22 |
| 1881942332 | James Cyril Spencer | Chiropractor | 401 W Atlantic Ave., Ste 015, Delray Beach, FL 33444 | 2012-08-15 |
| 1386926475 | Midnight Pass Chiropractic, Inc | Chiropractor | 4012 Cortez Rd W, Suite #2206, Bradenton, FL 34210-3109 | 2011-09-14 |
| 1467750695 | Audrey Warnick | Chiropractor | 313 Beechwood Dr, Crawfordville, FL 32327-2539 | 2011-03-11 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
Please comment or provide details below to improve the information on DR. JEFFERY SHAWN LEATHERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.