Jeremiah Paul Handschin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

681 Issued in WY

Practice address

4030 W Lake Creek Dr
Ste. 9
Wilson, WY 83014-9689

Phone

(307) 699-3170

NPI assigned

Dec 13, 2006

Last updated

Apr 23, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Pro-Motion Chiropractic and Rehabilitation

  • Sports Physician Chiropractor
  • Wilson, WY
  • NPI 1316271539
  Authorized official Same address or phone
• North Shore Spinal & Sports Rehabilitation, LTD

  dba North Shore Spinal & Sports Rehabilitation

  • Physical Therapist
  • Highland Park, IL
  • NPI 1508088030
  NPD (past)
• North Shore Spinal & Sports Rehabilitation, LTD

  • Physical Therapist
  • Highland Park, IL
  • NPI 1871713552
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1831250620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12743",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830022743",
            "telephone_number": "307-699-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 W LAKE CREEK DR",
            "address_2": "STE. 9",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149689",
            "telephone_number": "307-699-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSCHIN",
        "first_name": "JEREMIAH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WY",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W24558",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Franco, L.M.T, M.M.P.
• Christina Lynne Gallop, MD
• Julia Grace Gillen, PT, DPT
• Grand Health LLC
• Greater Yellowstone Imaging
• Brian Hawkins, PCSW-751
• Amanda Howell
• Jill Oja-Johnson
• McKenzie Jean Kirkpatrick
• Keith Ryan Knudson, DPT

• Sports Physician Chiropractor in Wilson, WY
• Providers in Wilson, WY by specialty
• Sports Physician Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.