Organization Active NPI

Peak Family Wellness LLC

  • Chiropractor
  • Middlebury, VT
National Provider Identifier
1134972425
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK FAMILY WELLNESS LLC
Practice address
1330 Exchange St Ste 105
Middlebury, VT 05753-4464
Phone
(802) 388-0970
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Caitlin Bone, DCNPI 1063975688
Title
Co-Owner and Chiropractor
Phone
(802) 388-0970

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 Primary

Addresses

Primary practice location

1330 Exchange St Ste 105
Middlebury, VT 05753-4464

Mailing address

5693 VT 22a
Addison, VT 05491-8914
Phone (802) 558-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617001608 VT Part B Supplier - Clinic/Group Practice 5799228912 Receives reassigned benefits from 3 practitioners
Practice locations: Middlebury, VT

National Provider Directory

National Provider Directory

Locations

227 Pond Ln
Middlebury, VT 05753
Phone (802) 388-0970

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1134972425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5693 VT 22A",
            "city": "ADDISON",
            "state": "VT",
            "postal_code": "054918914",
            "telephone_number": "802-558-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 EXCHANGE ST STE 105",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534464",
            "telephone_number": "802-388-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "CO-OWNER AND CHIROPRACTOR",
        "authorized_official_telephone_number": "802-388-0970",
        "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": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.