Ryan Scott Weintraub

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013586 Issued in IL

Practice address

863 S Perryville Rd Ste 100
Rockford, IL 61108-4328

Phone

(779) 423-2044

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

No

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 IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Futures Chiropractic, LLC

  • Chiropractor
  • Kalona, IA
  • NPI 1467578583
  Medicare reassignment NPD
• Health From Within Bettendorf LLC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1871241539
  Medicare reassignment NPD
• Health From Within Davenport LLC

  • Chiropractor
  • Davenport, IA
  • NPI 1174357115
  Medicare reassignment NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1366058307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 S PERRYVILLE RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 S PERRYVILLE RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084328",
            "telephone_number": "779-423-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Weems, MD
• Jaclyn C. Weidner, APN
• Tara Weidner, RN
• Jami A Weiland, PHARMD
• Jessica Weiland, NP
• Scott A. Weintraub, MD
• Katrina Nicole Weir, M.S., CFY-SLP
• Britteny Weisensel, ATC
• Jeffrey R Weishaar, PSYD
• Jerome S Weiskopf, MD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.