OPTIMUM CHIROPRACTIC PLLC


Address: 8765 W Kelton Ln, B-4 Suite 150, Peoria, AZ 85382-3584
Phone: 6239797100

OPTIMUM CHIROPRACTIC PLLC (NPI# 1114459492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114459492
Entity Type Organization
Organization Name OPTIMUM CHIROPRACTIC PLLC
Practice Address 8765 W Kelton Ln
B-4 Suite 150
Peoria
AZ 85382-3584
Practice Telephone 6239797100
Practice Fax Number 6239793577
Mailing Telephone 6239797100
Mailing Fax Number 6239793577
Enumeration Date 2017-03-28
Last Update Date 2017-05-10
Authorized Official Name TIMOTHY SCOTT BALLITCH (OWNER)
Authorized Official Telephone 6239797100
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 8620 AZ Chiropractic Providers

Office Location

Street Address 8765 W KELTON LN
B-4 SUITE 150
City PEORIA
State AZ
Zip Code 85382-3584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346320736 Diana Lynn Srdich Chiropractor 8765 W Kelton Ln, Bldg B-4, Suite 150, Peoria, AZ 85382-3584 2006-10-17
1073861852 Susan T Gregg Occupational Therapist 8765 W Kelton Ln, Suite 116, Peoria, AZ 85382-3584 2012-08-27
1497073423 Bevin M Barrett Specialist/Technologist 8765 W Kelton Ln, Peoria, AZ 85382-3584 2010-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205435146 Arizona Ot Solutions LLC Occupational Therapist 7450 W. Karen Lee Lane, Peoria, AZ 85382 2020-10-21
1497380604 Idream Psychiatry Psychiatry & Neurology 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 2020-03-08
1770137648 Stefan Cseh Occupational Therapy Assistant 8765 W Keiton Lane #116, Peona, AZ 85382 2019-07-30
1174177422 Assyrian Cultural Foundation of Arizona Homemaker 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 2019-07-25
1073072765 Darby Shipman Physical Therapist 8685 W. Union Hills Drive, Peoria, AZ 85382 2019-03-13
1811483480 Kimberly Ann Cochran Nurse Practitioner 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 2018-07-07
1831693514 Summa Health Care, PC Family Medicine 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 2018-03-19
1497258727 Nkemdirim Obiora Nurse Practitioner 7853 West Lone Cactus Drive, Peoria, AZ 85382 2018-03-13
1851893721 Alyssa Michelle Bauman Registered Nurse 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 2018-03-06
1043767106 Jason Mcaddley Pharmacist 9425 West Union Hills Drive, Peoria, AZ 85382 2016-09-07
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467094557 Chiro One Wellness Center of Peoria LLC Chiropractor 4125 N Sheridan Rd, Peoria, IL 61614-7167 2019-10-10
1134778418 Benjamin Charles Deig Chiropractor 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 2019-09-09
1851951610 Wyatt Richard Kissling Chiropractor 26135 N 85th Dr, Peoria, AZ 85383-3608 2019-06-14
1336707447 Pyle Family Chiropractic Pllc Chiropractor 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 2019-06-04
1356849772 Brandie Long Chiropractor 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 2018-01-31
1457865933 Hanna Ariella Singer Chiropractor 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 2017-11-20
1548798333 Bryan Scott Rand Chiropractor 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 2017-05-24
1568903433 Timothy Ballitch Chiropractor 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 2017-03-13
1215398367 Alp Wellness Inc Chiropractor 4700 N University St Spc 65, Peoria, IL 61614-5849 2016-03-17
1275912545 Lindsey Lea Rafool Chiropractor 719 W Lake Ave, Peoria, IL 61614-5941 2015-05-20
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City PEORIA
Zip Code 85382

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Dataset Information

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.

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