Performance Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4641-12 Issued in WI

Legal business name

PERFORMANCE CHIROPRACTIC CLINIC, LLC

Practice address

11430 W Bluemound Rd
109
Wauwatosa, WI 53226-4050

Phone

(262) 422-7457

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Madalyn Perry

Title

Owner

Phone

(262) 422-7457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1114305059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 W BLUEMOUND RD",
            "address_2": "109",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264050",
            "telephone_number": "262-422-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 W BLUEMOUND RD",
            "address_2": "109",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264050",
            "telephone_number": "262-422-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MADALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-422-7457",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4641-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Byron Pepper, PA-C
• Andres Peralta-Werns, DC
• Matthew Perchuk, P.T.
• Jennifer Mary Perez, RN
• Performance Chiropractic Center, S.C.
• Thomas J Perlewitz, MD
• Perry W Sukowatey DDS LTD
• Madalyn Jessica Perry, D.C
• Suncerrae Perry, MSW, APSW, SAC-IT
• Roy Perteet

• Chiropractor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.