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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 8620 | AZ | Chiropractic Providers |
Street Address |
8765 W KELTON LN B-4 SUITE 150 |
City | PEORIA |
State | AZ |
Zip Code | 85382-3584 |
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 |
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 |
Find all providers in zip 85382 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
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 |
Find all providers in PEORIA |
Please comment or provide details below to improve the information on OPTIMUM CHIROPRACTIC PLLC.
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.