Organization Active NPI

Stsa, LLC

Doing business as Live Aligned

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1770020810
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4680-12 Issued in WI
Legal business name
STSA, LLC
Doing business as
Live Aligned
Practice address
1438 Main St
Onalaska, WI 54650-2835
Phone
(563) 359-4203
NPI assigned
Jan 27, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Scott J Cichosz, D.C.NPI 1699076299
Title
Ceo
Phone
(608) 519-2519

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 4680-12 WI Primary

Addresses

Primary practice location

1438 Main St
Onalaska, WI 54650-2835

Mailing address

1438 Main St
Onalaska, WI 54650-2835
Phone (608) 519-2519

Other names 1

  • Live Aligned Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313001770 WI Part B Supplier - Clinic/Group Practice 9133404122 Receives reassigned benefits from 1 practitioner
Practice locations: Onalaska, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1770020810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-519-2519",
            "fax_number": "608-519-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "563-359-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CICHOSZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-519-2519",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4680-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Aligned",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.