NORTHWEST CHIROPRACTIC AND SPORTS REHAB LLC (NPI# 1285114983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285114983 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CHIROPRACTIC AND SPORTS REHAB LLC |
| Practice Address |
1151 E Division Ave Ste A Barron WI 54812 |
| Mailing Address |
1151 E Division Ave Ste A Barron WI 54812-1234 |
| Practice Telephone | 7156373000 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | BRANDON MICHAEL LANGERUDE (OWNER) |
| Authorized Official Telephone | 7156373000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5380-12 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100082273 | 05 |
| Street Address |
1151 E DIVISION AVE STE A |
| City | BARRON |
| State | WI |
| Zip Code | 54812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437602786 | Nathan Whiting | Counselor | 405 E. Lasalle Ave., Barron, WI 54812 | 2016-08-03 |
| 1215399282 | Brandon Langerude | Chiropractor | 1151 E Division Ave, Barron, WI 54812 | 2016-03-28 |
| 1942686068 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 535 E. Division Ave., Barron, WI 54812 | 2015-07-31 |
| 1851540710 | Dorthy May Nelson | Dental Hygienist | 330 East Lasalle Ave, Barron, WI 54812 | 2008-09-16 |
| 1467665844 | Ashley Ann Solfest | Occupational Therapy Assistant | 660 East Birch Ave., Barron, WI 54812 | 2007-05-08 |
| 1568573715 | Omne Clinic Inc | Psychologist | 233 E La Salle Avenue, Barron, WI 54812 | 2006-08-31 |
| 1316903537 | James A Rugowski | Psychiatry & Neurology | 233 E Lasalle Avenue, Barron, WI 54812 | 2006-04-25 |
| 1346752318 | Michele Knutson | Speech-Language Pathologist | 1222 E Woodland Ave, Barron, WI 54812 | 2017-10-31 |
| 1750892253 | Tiffany Mary Kann | Physical Therapist | 1222 E Woodland Ave, Barron, WI 54812 | 2017-10-24 |
| 1386155802 | Brady Czyscon | Physical Therapist | 1222 E Woodland Ave, Barron, WI 54812 | 2017-10-24 |
| Find all providers in zip 54812 | ||||
| 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 |
|---|---|---|---|---|
| 1215399282 | Brandon Langerude | Chiropractor | 1151 E Division Ave, Barron, WI 54812 | 2016-03-28 |
| 1669496410 | Thomas Arthur Kaus | Chiropractor | 407 E Division Ave, Barron, WI 54812-1142 | 2006-07-26 |
| 1922169317 | Barron Chiropractic Health Center, S.c. | Chiropractor | 407 E Division Ave, Barron, WI 54812-1142 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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| 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.