Etheredge Chiropractic PA
NPI 1003905084 · Orthopedic Chiropractor · Fruitland Park, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Etheredge Chiropractic PA is a Orthopedic Chiropractor organization in Fruitland Park, FL (NPI 1003905084).
Provider details
- NPI number
- 1003905084
- Entity type
- Organization
- Primary specialty
- Orthopedic ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Richard Etheredge, Owner/Chirpractor(352) 365-1191
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-08-21
Frequently asked questions
- What is Etheredge Chiropractic PA's NPI number?
- Etheredge Chiropractic PA's National Provider Identifier (NPI) is 1003905084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etheredge Chiropractic PA?
- Etheredge Chiropractic PA is classified in the NPPES registry as Orthopedic Chiropractor (Chiropractic Providers).
- Where is Etheredge Chiropractic PA located?
- Etheredge Chiropractic PA's practice location on file with NPPES is 3261 US Hwy 27/441, Fruitland Park, FL 34731.
- What is Etheredge Chiropractic PA's phone number?
- The practice phone number listed in the NPPES registry for Etheredge Chiropractic PA is (352) 365-1191.
- Does Etheredge Chiropractic PA accept Medicare?
- Etheredge Chiropractic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Etheredge Chiropractic PA?
- The authorized official listed on Etheredge Chiropractic PA's NPPES record is Richard Etheredge, Owner/Chirpractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etheredge Chiropractic PA's NPI active?
- Yes — Etheredge Chiropractic PA's NPI (1003905084) is active in the NPPES registry as of the last update on 2007-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.