Organization Active NPI

Alp Wellness Inc

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1215398367
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012085 Issued in IL
Legal business name
ALP WELLNESS INC
Practice address
4700 N University St SPC 65
Peoria, IL 61614-5849
Phone
(309) 689-6200
Fax
(309) 689-6219
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Andrea K Forget-Schnowske, DCNPI 1407123136
Title
President
Phone
(309) 832-4532

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 038012085 IL Primary

Addresses

Primary practice location

4700 N University St SPC 65
Peoria, IL 61614-5849

Mailing address

4700 N University St SPC 65
Peoria, IL 61614-5849
Phone (309) 689-6200

Other names 1

  • AlignLife of Peoria Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161201001813 IL Part B Supplier - Clinic/Group Practice 2264712538 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL

National Provider Directory

National Provider Directory

Locations

4700 N University St
Spc 65
Peoria, IL 61614
Phone (309) 689-6200

Practitioners & affiliated clinicians

Practitioners 2

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": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1215398367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N UNIVERSITY ST SPC 65",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145849",
            "telephone_number": "309-689-6200",
            "fax_number": "309-689-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N UNIVERSITY ST SPC 65",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145849",
            "telephone_number": "309-689-6200",
            "fax_number": "309-689-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALP WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "FORGET-SCHNOWSKE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-832-4532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlignLife of Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.