Active NPI
Alp Wellness Inc
- Chiropractor
- Peoria, IL
National Provider Identifier
1215398367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrea K Forget-Schnowske, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161201001813 | IL | Part B Supplier - Clinic/Group Practice | 2264712538 |
Receives reassigned benefits from 1 practitioner Practice locations: Peoria, IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Peoria, IL
- NPI 1407123136
-
- Massage Therapist
- Peoria, IL
- NPI 1013878057
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.