Organization Active NPI

Willow Tree Chiropractic LLC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1669108635
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILLOW TREE CHIROPRACTIC LLC
Practice address
6138 Mineral Point Rd
Madison, WI 53705-4458
Phone
(608) 620-4434
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Dr. Olivia Thomas, DC
Title
Owner
Phone
(608) 620-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6138 Mineral Point Rd
Madison, WI 53705-4458

Mailing address

6138 Mineral Point Rd
Madison, WI 53705-4458
Phone (608) 620-4434

National Provider Directory

National Provider Directory

Locations

6138 Mineral Point Rd
Madison, WI 53705
Phone (608) 620-4434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1669108635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054458",
            "telephone_number": "608-620-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054458",
            "telephone_number": "608-620-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-620-4434",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.