NPIMap

Organization Active NPI

Ultimate Family Wellness

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1033480421
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556811 Issued in VA
Legal business name
ULTIMATE FAMILY WELLNESS
Practice address
1995 Jefferson Davis Hwy
Suite 100
Fredericksburg, VA 22401-5299
Phone
(540) 446-5824
Fax
(540) 446-5483
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerd Koerber, D.C.NPI 1487986550
Title
Owner/Doctor
Phone
(540) 446-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556811 VA Primary

Addresses

Primary practice location

1995 Jefferson Davis Hwy
Suite 100
Fredericksburg, VA 22401-5299

Mailing address

1995 Jefferson Davis Hwy
Suite 100
Fredericksburg, VA 22401-5299
Phone (540) 446-5824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000837 VA Part B Supplier - Clinic/Group Practice 3476700527 Receives reassigned benefits from 2 practitioners
Practice locations: Spotsylvania, VA

National Provider Directory

National Provider Directory

Locations

1109 Heatherstone Dr
#102
Fredericksburg, VA 22407
Phone (540) 446-5824

10401 Courthouse Rd
Ste A
Spotsylvania, VA 22553
Phone (540) 446-5824

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1033480421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015299",
            "telephone_number": "540-446-5824",
            "fax_number": "540-446-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015299",
            "telephone_number": "540-446-5824",
            "fax_number": "540-446-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KOERBER",
        "authorized_official_first_name": "GERD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "540-446-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.