920 Wellness Studio LLC
Organization Active NPI Chiropractor · Appleton, WI
NPI 1366009532 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1366009532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 920 WELLNESS STUDIO LLC
- Practice address
- 3232 N Ballard Rd Ste 202
Appleton, WI 54911-8804 - Phone
- (920) 850-6093
- NPI assigned
- May 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Mikhaila Riska, DC
- Title
- Owner
- Phone
- (920) 944-9202
Practitioners 3
-
Shea Horton-Goudge, D.C.
-
Mikhaila Riska, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190611002558 | WI | Part B Supplier - Clinic/Group Practice | 2860725595 |
Receives reassigned benefits from 2 practitioners Practice locations: Oshkosh, WI; Appleton, WI |
National Provider Directory
Locations
4076 W Spencer St
Appleton, WI 54914
Phone (920) 944-9202
501 N Main St
Oshkosh, WI 54901
Phone (920) 850-6093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
3232 N Ballard Rd Ste 202
Appleton, WI 54911-8804
Mailing address
3232 N Ballard Rd Ste 202
Appleton, WI 54911-8804
Phone (920) 850-6093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134782873 | Medicaid | WI |
Other names
- 920 Wellness Studio
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.