Jacob Peot, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5113-12 Issued in WI

Practice address

1438 Main St
Onalaska, WI 54650-2835

Phone

(608) 519-2519

Fax

(608) 519-2520

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Chiropractic Wellness Center, LLC

  • Chiropractor
  • Onalaska, WI
  • NPI 1184950354
  NPD (past)
• Stsa, LLC

  dba Live Aligned

  • Chiropractor
  • Onalaska, WI
  • NPI 1770020810
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1518328889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-519-2519",
            "fax_number": "608-519-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-519-2519",
            "fax_number": "608-519-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOT",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5113-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Paulsen, MS, SAC-IT
• Nathan Harold Peck
• Leo Matthew Pedretti
• Jason Pendleton, D.D.S
• Matt Penzenstadler, BSN, SRNA
• Amber T Pergande, D.C.
• Richard E Perry, MD
• Kari Lynn Peteler, D.C.
• Charles Peters, MD
• Katherine Frances Peters, NP

• Chiropractor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.