Spine and Sport Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012871 Issued in IL

Legal business name

SPINE AND SPORT CENTER

Practice address

205 N Grand Ave W
Springfield, IL 62702-2550

Phone

(217) 525-2035

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Casey S Sitko, D.C.NPI 1114394640

Title

General Manager

Phone

(217) 525-2035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

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

• Casey S Sitko, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1114394640
  Medicare reassignment NPD Authorized official
• Daryl Matthew Allen, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1740373513
  NPD (past)
• Rodney Alan Holzmacher, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1730234436
  NPD (past)
• Windie C. McKay, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1356424808
  NPD (past)
• Cody Derek Needham, DC

  • Chiropractor
  • Springfield, IL
  • NPI 1538667746
  NPD (past)
• Gregory R Polovich

  • Chiropractor
  • Taylorville, IL
  • NPI 1023027216
  NPD (past)
• Kyle James Sitko, DC

  • Chiropractor
  • Springfield, IL
  • NPI 1629585393
  NPD (past)
• Steven Michael Sitko, DC

  • Chiropractor
  • Springfield, IL
  • NPI 1215020185
  NPD (past)

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1801263256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-525-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-525-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SITKO",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "217-525-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Spencer, LPN
• Jewel Spencer, LMFT
• Stevi Spencer
• Eric Spenner, PA-C
• Amber Sperry, APN
• Laura R Spinner, LCSW
• Cody Spoonmore
• Lorie Sporrer, FNP-BC
• Springfield Accident and Pain Center
• Springfield Arc, Inc.

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.