Park Place Chiropractic, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4035-012 Issued in WI

Legal business name

PARK PLACE CHIROPRACTIC, LLC

Practice address

1831 W Court St
Janesville, WI 53548-3406

Phone

(608) 754-7463

Fax

(608) 754-1437

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Paull, D.C.NPI 1437116068

Title

Chiropractor

Phone

(608) 754-7463

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

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

• Joe L Arreola, D.C.

  • Chiropractor
  • Janesville, WI
  • NPI 1407862329
  Medicare reassignment NPD
• Andrew E Paull, D.C.

  • Chiropractor
  • Janesville, WI
  • NPI 1437116068
  NPD (past) Authorized official
• Brandon Ray Crandall, DC

  • Chiropractor
  • Janesville, WI
  • NPI 1154321727
  NPD (past)
• Jenny Rebecca Mohr Friedel, L.M.T

  • Massage Therapist
  • Janesville, WI
  • NPI 1104184712
  NPD (past)
• Caitlin Schmidt, LMT

  • Rehabilitation Chiropractor
  • Janesville, WI
  • NPI 1376970483
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205961331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 W COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483406",
            "telephone_number": "608-754-7463",
            "fax_number": "608-754-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483406",
            "telephone_number": "608-754-7463",
            "fax_number": "608-754-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-754-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4035-012",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "4035-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pack Janesville Dental, LLC. (Aspen Dental)
• Kristen Paeth, LCSW
• Carolyn Elaine Pagel
• Douglas R Palmer, MD
• Susan Louese Paras, SLP
• Lynne E. Parker, LPC
• Virgil H Parker, RN
• Vernon S Partello, MD
• Passageway, Inc. FRS-TR
• Maehali Patel, MD

• Sports Physician Chiropractor in Janesville, WI
• Providers in Janesville, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.