JILLIAN TARA SANDA (D.C.) – Chiropractor, NPI 1730628009

JILLIAN TARA SANDA (D.C.) is a healthcare provider. based in Port st lucie, Florida. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 38MC00742400 (NJ). The NPI Number for JILLIAN TARA SANDA (D.C.) is 1730628009

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN TARA SANDA (D.C.)
NPI
1730628009
Phone
(772) 335-3222
Address
1696 SE HILLMOOR DR STE C
Enumeration Date
19 February 2017
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
7723353222
Graduation Year
2016 (10 years ago)
PAC ID
7719246719
Group Practice PAC ID
7113064684
Professional Enrollment ID
I20250610001822
Address ID
FL349527699PO1696XDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for JILLIAN TARA SANDA (D.C.)

  • 1696 SE HILLMOOR DR STE C

    PORT ST LUCIE, FL 349527699

    Phone: (772) 335-3222

    Fax: (772) 335-3793

    Type: Location

  • 831 ROUTE 10 EAST

    MAXIMUM HEALTH AND WELLNESS CENTER LLC

    WHIPPANY, NJ 07981

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250610001822IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113064684View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

Can I use this page to confirm JILLIAN TARA SANDA (D.C.)'s NPI?
Yes. JILLIAN TARA SANDA (D.C.) is listed with NPI 1730628009 in the public NPI dataset.
Does CMS list JILLIAN TARA SANDA (D.C.) as active?
Yes — JILLIAN TARA SANDA (D.C.) is active in the NPI listing used on this page.
What taxonomy line describes JILLIAN TARA SANDA (D.C.)?
For research purposes, treat JILLIAN TARA SANDA (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JILLIAN TARA SANDA (D.C.)?
JILLIAN TARA SANDA (D.C.)'s geographic hint is Port St Lucie, Florida in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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