Organization Active NPI

Infinite Athlete Chiropractic & Rehab LLC

  • Rehabilitation Chiropractor
  • Fitchburg, WI
National Provider Identifier
1184158974
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5222-12 Issued in WI
Legal business name
INFINITE ATHLETE CHIROPRACTIC & REHAB LLC
Doing business as
Infinite Athlete Chiropractic & Rehab
Practice address
5964 Executive Dr
Fitchburg, WI 53719-5311
Phone
(608) 720-1144
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Dr. Elizabeth Paskey, D.C.NPI 1598207334
Title
Co-Owner, Chiropractor
Phone
(608) 720-1144

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 5222-12 WI Primary

Addresses

Primary practice location

5964 Executive Dr
Fitchburg, WI 53719-5311

Mailing address

5964 Executive Dr
Fitchburg, WI 53719-5311
Phone (608) 720-1144

Other names 1

  • Infinite Athlete Chiropractic & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115001520 WI Part B Supplier - Clinic/Group Practice 1759647357 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, WI

National Provider Directory

National Provider Directory

Locations

5964 Executive Dr
Fitchburg, WI 53719
Phone (608) 720-1144

Practitioners & affiliated clinicians

Practitioners 1

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1184158974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 EXECUTIVE DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195311",
            "telephone_number": "608-720-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 EXECUTIVE DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195311",
            "telephone_number": "608-720-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE ATHLETE CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "PASKEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "608-720-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "5222-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Athlete Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.