Organization Active NPI

Movement Redefined Spine and Sport - Boscobel LLC

  • Chiropractor
  • Boscobel, WI
National Provider Identifier
1043889561
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT REDEFINED SPINE AND SPORT - BOSCOBEL LLC
Practice address
109 W Oak St
Boscobel, WI 53805-1519
Phone
(608) 375-2411
Fax
(608) 526-9366
NPI assigned
Jun 19, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Levi Steven Curran, DC
Title
Owner
Phone
(608) 422-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

109 W Oak St
Boscobel, WI 53805-1519

Mailing address

109 W Oak St
Boscobel, WI 53805-1519
Phone (608) 375-2411

National Provider Directory

National Provider Directory

Locations

109 W Oak St
Boscobel, WI 53805
Phone (608) 375-2411

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1043889561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W OAK ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051519",
            "telephone_number": "608-375-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W OAK ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051519",
            "telephone_number": "608-375-2411",
            "fax_number": "608-526-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT REDEFINED SPINE AND SPORT - BOSCOBEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CURRAN",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-422-1817",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.