Chiro One Wellness Center of Oak Creek LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CHIRO ONE WELLNESS CENTER OF OAK CREEK LLC

Practice address

8880 S Howell Ave Ste 820-840
Oak Creek, WI 53154-8632

Phone

(414) 491-0096

NPI assigned

Apr 17, 2020

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Moran

Title

Credentialing Manager

Phone

(630) 229-4430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emery Holzwarth, DC

  • Chiropractor
  • Mount Pleasant, WI
  • NPI 1629959580
  Medicare reassignment Care Compare group NPD
• Aaron Ward, DC

  • Chiropractor
  • La Crosse, WI
  • NPI 1124839451
  Medicare reassignment Care Compare group NPD
• John Vincent Donlon III, DC

  • Chiropractor
  • Oak Creek, WI
  • NPI 1326558768
  NPD
• Matthew Rusecki, DC

  • Chiropractor
  • Oak Creek, WI
  • NPI 1366319527
  NPD
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past)

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1043830284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 COMMERCE DR STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238823",
            "telephone_number": "630-320-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 S HOWELL AVE STE 820-840",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548632",
            "telephone_number": "414-491-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF OAK CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-229-4430"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Supreme Chapman
• Ashley Charney, LPC
• Children's Health System, Inc. (Children's Urgent Care - Oak Creek)
• Children's Medical Group (Oak Creek Pediatrics)
• Children's Medical Group (Greensquare South)
• Steven R Chybowski, DDS
• City of Oak Creek
• City of Oak Creek
• Irina Ciubotaru, MD
• Leslie A. Clark, LPC, CSAC, CIR, ICS-

• Physical Medicine & Rehabilitation Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.