Active NPI 1437336641 Individual Practitioner Male Practitioner

Dr. Kenneth Thomas Mack , DC

Chiropractor • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mack, DC is a registered healthcare professional specializing in Chiropractor in Orlando, FL. Practice services are available at 1525 S ALAFAYA TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1525 S Alafaya Trl
Suite 102

Orlando, FL 328288926

Telephone 3212368452

Associated Practice Facility / Clinic

🏢 Florida Speech-Language Pathology, Inc. Facility NPI 1174544217

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Orlando, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

316 Specialists

Practicing in Orlando, FL (7309 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH8704

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi Group Number

1780703397

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Alexandria Cota , LCSW

Social Worker - Clinical

NPI 1124224266

Licensed Clinical Social Worker

Kimberly Peterson , OTR, L

Occupational Therapist - Pediatrics

NPI 1134437361

Occupational Therapist Registered, L

Dr. Jerald Grimes , DDS

Dentist - General Practice

NPI 1225171747

Doctor of Dental Surgery

Erika Ortiz , MOTR, L

Occupational Therapist

NPI 1265738140

Amanda Arick , OTR, L

Occupational Therapist

NPI 1285973008

Occupational Therapist Registered, L

Allison Geluso , ITDS

Developmental Therapist

NPI 1508121831

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2016

Registered at 1525 S ALAFAYA TRL, SUITE 102, ORLANDO, FL 328288926 (Tel: 3212368452)

📍

Updated Business Mailing Address January 29, 2016

Registered at 1525 S ALAFAYA TRL, SUITE 102, ORLANDO, FL 328288926 (Tel: 3212368452)

👤

Provider Name / Credentials Updated January 29, 2016

Recorded as KENNETH MACK, D.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2016

Chiropractor (License #CH8704 in FL)

🟢

Initial NPI Registration & Enumeration January 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1437336641

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2008

Last Update: January 29, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1525 S Alafaya Trl, Suite 102

Orlando, FL 328288926

Phone: 3212368452

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.