Jacob Lipski, DC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

20900 Swenson Dr Ste 575
Waukesha, WI 53186-4040

Phone

(262) 373-9168

NPI assigned

Jun 22, 2021

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Chiropractic Clinic of Bellevue PLLCGroup PAC ID 9931163227, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dynamic Chiropractic Clinic of Bellevue PLLC

  dba Dynamic Chiros

  • Chiropractor
  • Redmond, WA
  • NPI 1225256407
  Medicare reassignment Care Compare group NPD
• Dynamo Clinic PLLC

  • Chiropractor
  • Bellevue, WA
  • NPI 1174478499
  NPD Authorized official
• Body Renovation Physical Therapy SC

  • Physical Therapist
  • Grafton, WI
  • NPI 1871664243
  NPD (past)
• Wellness Group Physical Therapy, PLLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1285244079
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1437728706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20900 SWENSON DR STE 575",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864040",
            "telephone_number": "262-373-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 SWENSON DR STE 575",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864040",
            "telephone_number": "262-373-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Joyce Lindstrom, RN
• David Thomas Linn
• Erica Soule Linn, APNP, FNP-C
• Brian Thomas Lipman, M.D.
• Melissa Lipovsek
• Emily Lisak
• Tabitha N. Lisowe, SAC-IT
• Lyndsey Jean Litwin, LCSW
• Jay Litzenberg, RPH
• Lorena Lizardi, RN

• Student in an Organized Health Care Education/Training Program in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.