Organization Active NPI

Rhinebeck Sport & Spine

  • Chiropractor
  • Rhinebeck, NY
National Provider Identifier
1669146270
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RHINEBECK SPORT & SPINE
Practice address
187 E Market St Ste 204
Rhinebeck, NY 12572-1730
Phone
(845) 876-7473
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kelly Vonderlieth, DCNPI 1689347601
Title
Owner/Chiropractor
Phone
(845) 876-7473

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

187 E Market St Ste 204
Rhinebeck, NY 12572-1730

Mailing address

6765 Route 9
Rhinebeck, NY 12572-3720
Phone (845) 857-5940

Other names 1

  • Elevate Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117001904 NY Part B Supplier - Clinic/Group Practice 5698164416 Receives reassigned benefits from 1 practitioner
Practice locations: Rhinebeck, NY

National Provider Directory

National Provider Directory

Locations

6765 Route 9
Rhinebeck, NY 12572

187 E Market St
Ste 204
Rhinebeck, NY 12572
Phone (412) 212-8128

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": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1669146270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 ROUTE 9",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723720",
            "telephone_number": "845-857-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E MARKET ST STE 204",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721730",
            "telephone_number": "845-876-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHINEBECK SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "VONDERLIETH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "845-876-7473",
        "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": "Elevate Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.