Positive Changes Chiropractic, LTD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038009552 Issued in IL

Legal business name

POSITIVE CHANGES CHIROPRACTIC, LTD

Practice address

5724B Elevator Rd
Roscoe, IL 61073-8878

Phone

(815) 623-8214

Fax

(815) 623-5485

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Andrena Lynn Sayles, D.C.NPI 1114053840

Title

Doctor of Chiropractic/Owner

Phone

(815) 623-8214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrena Sayles, D.C.

  • Chiropractor
  • Pecatonica, IL
  • NPI 1114053840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1457669723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724B ELEVATOR RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738878",
            "telephone_number": "815-623-8214",
            "fax_number": "815-623-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724B ELEVATOR RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738878",
            "telephone_number": "815-623-8214",
            "fax_number": "815-623-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGES CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SAYLES",
        "authorized_official_first_name": "ANDRENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "815-623-8214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038009552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bruce P. Peterson, MD
• Michelle L Petty, MS, LCPC, NCC
• David Nelson Piper, D.M.D.
• Quality Covid Control
• Courtney Rackley
• Karen L Radtke, NP
• Marilyn Ramirez, M.S. ED., LPC, NCC
• Rebound Therapy Center, PC

• Medical Specialty Clinic/Center in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.