Boehly Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009295 Issued in NY

Legal business name

BOEHLY CHIROPRACTIC, PLLC

Doing business as

Elevate Chiropractic

Practice address

779 University Ave
Rochester, NY 14607-1226

Phone

(585) 271-5590

Fax

(585) 271-5593

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Richard Boehly, DCNPI 1366407470

Title

Owner

Phone

(585) 271-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elevate Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Boehly Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boehly Chiropractic, PLLC

  dba Elevate Chiropractic

  • Chiropractor
  • Rochester, NY
  • NPI 1215151832
  NPD tax ID

Locations

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.

• Charles Richard Boehly, D.C.

  • Chiropractor
  • Rochester, NY
  • NPI 1366407470
  Medicare reassignment NPD Authorized official
• Edwin Alexander Soto

  • Chiropractor
  • North Chili, NY
  • NPI 1174259147
  Medicare reassignment NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1467675207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071375",
            "telephone_number": "585-271-5590",
            "fax_number": "585-271-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071226",
            "telephone_number": "585-271-5590",
            "fax_number": "585-271-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEHLY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "BOEHLY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS GROUP ID #",
            "identifier": "G0188558590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Body Well Retreat LLC
• Ann I Bodyk, LCSW-R
• Bodymind Float Center LLC
• Casandra Boehlke
• Boehly Chiropractic, PLLC (Elevate Chiropractic)
• Charles Richard Boehly, D.C.
• Jennifer Marie Boehly, A.N.P
• Willard Charles Boehm, D.D.S.
• Jamie Michelle Boerman, PA-C
• Jayne Boessmann, RPA-C

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.