NPIMap

Organization Active NPI

Health in Motion Chiropractic LLC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1386263374
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH IN MOTION CHIROPRACTIC LLC
Practice address
2530 Lineville Rd Ste 1
Green Bay, WI 54313-8861
Phone
(920) 857-3126
NPI assigned
Apr 10, 2020
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Ryan TachickNPI 1104453570
Title
Owner
Phone
(920) 660-6081

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2530 Lineville Rd Ste 1
Green Bay, WI 54313-8861

Mailing address

3446 Jersey Lane
Optional
Suamico, WI 54313
Phone (920) 660-6081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515002076 WI Part B Supplier - Clinic/Group Practice 0345671889 Receives reassigned benefits from 2 practitioners
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

11880 Velp Ave
Ste F
Suamico, WI 54313
Phone (920) 660-6081

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1386263374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 JERSEY LANE",
            "address_2": "OPTIONAL",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "54313",
            "telephone_number": "920-660-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 LINEVILLE RD STE 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138861",
            "telephone_number": "920-857-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IN MOTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "TACHICK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-660-6081"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.