DR. KENNETH DAVID GILMORE (NPI# 1962589309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962589309 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DAVID GILMORE |
| Credential | D.C. |
| Practice Address |
800 Virginia Ave Ste 45 Fort Pierce FL 34982-5893 |
| Practice Telephone | 7724669575 |
| Practice Fax Number | 7724669475 |
| Mailing Telephone | 7724669575 |
| Mailing Fax Number | 7724669475 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH6106 | FL | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
CH6106 | FL | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
CH6106 | FL | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CH6106 | FL | Chiropractic Providers |
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
CH6106 | FL | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CH6106 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PROVIDER ID | 4601271 | 01 |
| FL | BCBS FL | 22467 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770693673 | Kenneth Gilmore | Physical Therapy Assistant | 10256 S Us Highway 1, Port Saint Lucie, FL 34952-5615 | 2006-08-30 |
| Street Address |
800 VIRGINIA AVE STE 45 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-5893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619150901 | Kenneth D. Gilmore,dc,pa | Chiropractor | 800 Virginia Ave Ste 45, Fort Pierce, FL 34982-5893 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| 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 |
|---|---|---|---|---|
| 1619150901 | Kenneth D. Gilmore,dc,pa | Chiropractor | 800 Virginia Ave Ste 45, Fort Pierce, FL 34982-5893 | 2007-12-10 |
| 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 | FORT PIERCE |
| Zip Code | 34982 |
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| 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.