NPIMap

Organization Active NPI

Optimal Health Chiropractic and Rehabilitation

  • Chiropractor
  • Schofield, WI
National Provider Identifier
1508204173
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4762-012 Issued in WI
Legal business name
OPTIMAL HEALTH CHIROPRACTIC AND REHABILITATION
Practice address
1047 Grand Ave
Schofield, WI 54476-1123
Phone
(715) 338-3331
Fax
(715) 220-4892
NPI assigned
Jun 5, 2013
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Michael Hanson, D.C.NPI 1851679617
Title
Chiropractor
Phone
(715) 338-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4762-012 WI Primary

Addresses

Primary practice location

1047 Grand Ave
Schofield, WI 54476-1123

Mailing address

1047 Grand Ave
Schofield, WI 54476-1123
Phone (715) 338-3331

National Provider Directory

National Provider Directory

Locations

1047 Grand Ave
Schofield, WI 54476
Phone (715) 338-3331

Practitioners & affiliated clinicians

Practitioners 1

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": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1508204173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 GRAND AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761123",
            "telephone_number": "715-338-3331",
            "fax_number": "715-220-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 GRAND AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761123",
            "telephone_number": "715-338-3331",
            "fax_number": "715-220-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-338-3331",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4762-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.