Individual provider Active NPI

Alexandria Nealy

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1578197786
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013471 Issued in IL
Practice address
1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733
Phone
(986) 831-2922
NPI assigned
Feb 26, 2020
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013471 IL Primary

Addresses

Primary practice location

1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733

Mailing address

1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002780 IL Practitioner - Chiropractic 4486077302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Body Chiropractic LTDGroup PAC ID 7416107891, 3 clinicians

Practice addresses (Care Compare)

1600 S Indiana Ave
Suite 2
Chicago, IL 60616-4733
Phone (312) 922-9868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013471ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Body Chiropractic LTD Chiropractor CurrentSince Feb 7, 2023 Accepting new patients
Wellness Revolution Lakeview LLC Chiropractor PastSince Jun 1, 2020 Accepting new patients

Locations

1600 S Indiana Ave
Ste 2
Chicago, IL 60616
Phone (312) 922-9868

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1578197786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164733",
            "telephone_number": "986-831-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALY",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-04-11",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.