Active NPI
Root of Wellness LLC
- Chiropractor
- Hannibal, MO
National Provider Identifier
1801775697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ROOT OF WELLNESS LLC
- Practice address
- 3500 Market St
Hannibal, MO 63401-5440 - Phone
- (573) 719-3001
- Fax
- (573) 719-3002
- NPI assigned
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Gottman, DC
- Title
- Owner/Chiropractor
- Phone
- (870) 243-2073
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3500 Market St
Hannibal, MO 63401-5440
Mailing address
3500 Market St
Hannibal, MO 63401-5440
Phone (573) 719-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3500 Market St
Hannibal, MO 63401
Phone (573) 719-3001
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Palmyra, MO
- NPI 1366105926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1801775697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 MARKET ST",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634015440",
"telephone_number": "573-719-3001",
"fax_number": "573-719-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MARKET ST",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634015440",
"telephone_number": "573-719-3001",
"fax_number": "573-719-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT OF WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "GOTTMAN",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "870-243-2073",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.