Bayside Sport & Spine PLLC
NPI 1679374110 · Chiropractor · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayside Sport & Spine PLLC is a Chiropractor organization in St Petersburg, FL (NPI 1679374110).
Provider details
- NPI number
- 1679374110
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Ross Revella, Owner/Chiropractor(330) 261-3802
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Other names (DBA / former)
- Doing business as
- Sea Change Chiropractic
Registry dates
- Enumerated
- 2025-03-21
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Bayside Sport & Spine PLLC's NPI number?
- Bayside Sport & Spine PLLC's National Provider Identifier (NPI) is 1679374110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Sport & Spine PLLC?
- Bayside Sport & Spine PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Bayside Sport & Spine PLLC located?
- Bayside Sport & Spine PLLC's practice location on file with NPPES is 5415 4th St N, St Petersburg, FL 33703-2249.
- What is Bayside Sport & Spine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Sport & Spine PLLC is (727) 521-4244.
- Does Bayside Sport & Spine PLLC accept Medicare?
- Bayside Sport & Spine PLLC 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 Bayside Sport & Spine PLLC?
- The authorized official listed on Bayside Sport & Spine PLLC's NPPES record is Ross Revella, Owner/Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Sport & Spine PLLC's NPI active?
- Yes — Bayside Sport & Spine PLLC's NPI (1679374110) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.