Travis Malott, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5080-12 Issued in WI

Practice address

E101 4TH Street
Brodhead, WI 53520-2003

Phone

(608) 897-3010

Fax

(608) 897-3011

NPI assigned

Feb 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardinal Chiropractic LLC

  dba Wilke Chiropractic Office

  • Chiropractor
  • Brodhead, WI
  • NPI 1366780918
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1235521360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E101 4TH STREET",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202003",
            "telephone_number": "608-897-3010",
            "fax_number": "608-897-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E101 4TH STREET",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202003",
            "telephone_number": "608-897-3010",
            "fax_number": "608-897-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "TRAVIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5080-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne S Johnson
• Andrew J Kebus, DDS
• Kathleen Kornaus, MS OTR/L
• LJ III Health Management, Inc (Woods Crossing at Woods Point)
• Joseph Mac Alpine, DC
• Mercy Health System Corporation (Mercy Brodhead Medical Center)
• Steven L Mischka, FNP
• Lindsay Faith Mohrbacher
• Joseph K Murphy, D.C.
• Corinne Peters

• Chiropractor in Brodhead, WI
• Providers in Brodhead, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.