Achieve Improved Motion LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACHIEVE IMPROVED MOTION LLC

Practice address

400 Boston Post Rd
Orange, CT 06477-3545

Phone

(203) 928-9455

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Michael Anthony Simeoli, DCNPI 1346852944

Title

Owner

Phone

(203) 928-9455

Specialties & licenses 1

Addresses

Other names 1

• Active Chiro LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

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

• Michael Anthony Simeoli, DC

  • Chiropractor
  • Orange, CT
  • NPI 1346852944

  CT

  Medicare reassignment Care Compare group Authorized official
• Ryan Pegolo, DC

  • Chiropractor
  • Shelton, CT
  • NPI 1679199475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1114533429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-928-9455",
            "fax_number": "203-693-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-928-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE IMPROVED MOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMEOLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-928-9455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiro LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Orange, CT
• Providers in Orange, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.