Organization Active NPI

Althoff Wellness Clinic, PC

  • Chiropractor
  • Windsor, CO
National Provider Identifier
1457486169
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5424 Issued in CO
Legal business name
ALTHOFF WELLNESS CLINIC, PC
Practice address
1040 Walnut Street
Windsor, CO 80550
Phone
(970) 686-6833
Fax
(970) 686-6837
NPI assigned
Feb 22, 2007
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dr. Jill R Althoff, DCNPI 1295803336
Title
Ceo
Phone
(970) 686-6833

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5424 CO Primary

Addresses

Primary practice location

1040 Walnut Street
Windsor, CO 80550

Mailing address

1040 Walnut Street
Windsor, CO 80550
Phone (970) 686-6833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001879 CO Part B Supplier - Clinic/Group Practice 9638060486 Receives reassigned benefits from 2 practitioners
Practice locations: Windsor, CO

National Provider Directory

National Provider Directory

Locations

1040 Walnut St
Windsor, CO 80550
Phone (970) 686-6833

1295 Main St
Unit 1
Windsor, CO 80550
Phone (970) 674-0147

427 Main St
Windsor, CO 80550
Phone (970) 686-6833

Practitioners & affiliated clinicians

Practitioners 2

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1457486169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WALNUT STREET",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "80550",
            "telephone_number": "970-686-6833",
            "fax_number": "970-686-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WALNUT STREET",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "80550",
            "telephone_number": "970-686-6833",
            "fax_number": "970-686-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHOFF WELLNESS CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ALTHOFF",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-686-6833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.