Individual provider Active NPI

Matthew Rusecki, DC

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1366319527
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6317-12 Issued in WI
Practice address
8880 S Howell Ave Ste 820-840
Oak Creek, WI 53154-8632
Phone
(414) 877-3007
NPI assigned
Oct 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6317-12 WI Primary

Addresses

Primary practice location

8880 S Howell Ave Ste 820-840
Oak Creek, WI 53154-8632

Mailing address

814 Commerce Dr Ste 300
Oak Brook, IL 60523-8823
Phone (630) 468-1824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000644 WI Practitioner - Chiropractic 5890284442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Mount Pleasant LLCGroup PAC ID 3274945811, 3 clinicians
Chiro One Wellness Center of Pleasant Prairie LLCGroup PAC ID 5991119976, 2 clinicians

Practice addresses (Care Compare)

7115 Durand Ave
Suite H
Mount Pleasant, WI 53177-1971
Phone (262) 762-4844

9755 76TH St
Suite 730
Pleasant Prairie, WI 53158-1925
Phone (262) 455-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6317-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Mount Pleasant LLC Chiropractor CurrentSince Nov 10, 2025 Accepting new patients
Chiro One Wellness Center of Oak Creek LLC Chiropractor CurrentSince Oct 22, 2025 Accepting new patients
Chiro One Wellness Center of Pleasant Prairie LLC Chiropractor CurrentSince May 1, 2026 Accepting new patients

Locations

814 Commerce Dr
Ste 300
Oak Brook, IL 60523

7115 Durand Ave
Ste H
Mount Pleasant, WI 53177
Phone (262) 762-4844

8880 S Howell Ave
Ste 820840
Oak Creek, WI 53154
Phone (414) 491-0096

9755 76th St
Ste 730
Pleasant Prairie, WI 53158
Phone (262) 455-9440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1366319527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 COMMERCE DR STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238823",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 S HOWELL AVE STE 820-840",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548632",
            "telephone_number": "414-877-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSECKI",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6317-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.