NPIMap

Organization Active NPI

Total Athleticare 1, LLC

Doing business as Total Athleticare

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1477214831
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL ATHLETICARE 1, LLC
Doing business as
Total Athleticare
Practice address
999 N Plaza Dr Ste 115
Schaumburg, IL 60173-5403
Phone
(847) 706-9600
Fax
(847) 706-9610
NPI assigned
Jan 6, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Ryan M Bengtson, DCNPI 1619560745
Title
Chiropractor
Phone
(847) 706-9600

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 Primary

Addresses

Primary practice location

999 N Plaza Dr Ste 115
Schaumburg, IL 60173-5403

Mailing address

999 N Plaza Dr Ste 115
Schaumburg, IL 60173-5403
Phone (847) 706-9600

Other names 1

  • Total Athleticare Doing business as

National Provider Directory

National Provider Directory

Locations

999 N Plaza Dr
Ste 115
Schaumburg, IL 60173
Phone (847) 706-9600

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1477214831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 115",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735403",
            "telephone_number": "847-706-9600",
            "fax_number": "847-706-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 115",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735403",
            "telephone_number": "847-706-9600",
            "fax_number": "847-706-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ATHLETICARE 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "BENGTSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-706-9600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Athleticare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.