Individual provider Active NPI

Baley Alyssa Mikita

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1700373644
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5395-12 Issued in WI
Practice address
841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone
(920) 234-6852
NPI assigned
Apr 17, 2018
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5395-12 WI Primary

Addresses

Primary practice location

841 Riverfront Dr
Sheboygan, WI 53081-4656

Mailing address

841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone (920) 234-6852

Other practice location 1

109 W Oak St
Boscobel, WI 53805-1519
Phone (608) 375-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5395-12WIMDChiropractor
5395WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Chiropractic and Rehabilitation L.L.C. Chiropractor Current Accepting new patients

Organizations & group practices 1

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1700373644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 RIVERFRONT DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814656",
            "telephone_number": "920-234-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 RIVERFRONT DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814656",
            "telephone_number": "920-234-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Boscobel",
            "state": "WI",
            "postal_code": "538051519",
            "country_code": "US",
            "telephone_number": "608-375-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKITA",
        "first_name": "BALEY",
        "middle_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5395-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.