Body Wave Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

391512 Issued in WI

Legal business name

BODY WAVE CORPORATION

Practice address

2984 Triverton Pike Dr
Ste. 102
Fitchburg, WI 53711-5841

Phone

(608) 556-1705

NPI assigned

Apr 2, 2013

Organization subpart

No

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

Authorized official

Name

Laura Ann Konopacki, D.C.NPI 1295082238

Title

Owner

Phone

(608) 556-1705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Laura Ann Konopacki, D.C.

  • Chiropractor
  • Fitchburg, WI
  • NPI 1295082238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1760725329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 TRIVERTON PIKE DR",
            "address_2": "STE. 102",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115841",
            "telephone_number": "608-556-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 TRIVERTON PIKE DR",
            "address_2": "STE. 102",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115841",
            "telephone_number": "608-556-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WAVE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "KONOPACKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-556-1705",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "391512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Star Transit LLC
• Lauren M Blume, MS, CCC-SLP
• Emily Anne Boak, OTR
• Sarah Kathryn Bodine, M.A. CCC-SLP
• Body & Spine Chiropractic Wellness Center, LLC
• Amanda Boerboom
• Laura Boggio, MS, OTR/L
• Sadie Bognar
• Jonathan Bohman, PA
• Rebecca Bok, LCSW

• Chiropractor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.