Michael J.a. Longo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60838165 Issued in WA

Practice address

614 Harrison St
Sumner, WA 98390-1100

Phone

(253) 380-4752

NPI assigned

May 14, 2018

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)

Enrolled

State licenses

Practice roles

Locations

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

• Limitless Chiropractic and Lifestyle Center

  • Chiropractor
  • Sumner, WA
  • NPI 1780396663
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1740770981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HARRISON ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901100",
            "telephone_number": "253-380-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HARRISON ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901100",
            "telephone_number": "253-380-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4902 Tacoma Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984097149",
            "country_code": "US",
            "telephone_number": "253-473-0300",
            "fax_number": "253-473-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGO",
        "first_name": "MICHAEL",
        "middle_name": "J.A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60838165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred J. Leitz III, M.D.
• Stacy Laine Lewis, LMP
• Jessica Joy Libby
• Limitless Chiropractic and Lifestyle Center
• Emma Loftus, ARNP-BC
• Miranda Blythe Lucker, LMP
• Callie Leah Macleod, RN
• Courtney Janelle Madlung, L.M.P.
• Emma Park Mainar, LAC
• Todd Maltzahn

• Chiropractor in Sumner, WA
• Providers in Sumner, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.