Lori M Wight, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008520 Issued in IL

Practice address

2230 W Townline Rd
Peoria, IL 61615-1545

Phone

(309) 690-3322

Fax

(309) 690-3323

NPI assigned

Nov 16, 2005

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lori M Keller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Realigned Chiropractic & Acupuncture

  • Chiropractor
  • Peoria, IL
  • NPI 1902962806
  Authorized official Same address or phone

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1417939356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W TOWNLINE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151545",
            "telephone_number": "309-690-3322",
            "fax_number": "309-690-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W TOWNLINE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151545",
            "telephone_number": "309-690-3322",
            "fax_number": "309-690-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "KELLER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy E. Wiemers, CNS
• Kim Keith Wiese, PA-C
• Rebecca Wigant, APN
• Andrew Wiggers, PT
• Christine Ann Wigginton, MD
• Pamela Anne Wilcoxen-Rose, D.C.
• Randall Lane Wilcoxen, PAC
• Brett J Wilkerson, MD
• Tamara D Wilkins, APN
• Danette A Wilkinson, ANP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.