Active NPI
Movewell Spine & Sport, LLC
- Chiropractor
- Williston, VT
National Provider Identifier
1841536430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006.0056369
- Legal business name
- MOVEWELL SPINE & SPORT, LLC
- Practice address
- 372 Hurricane LN Ste 102
Williston, VT 05495-2080 - Phone
- (802) 497-1002
- NPI assigned
- Dec 31, 2012
- 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
- Jason Wolstenholme, DC
- Title
- President
- Phone
- (802) 497-1002
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 | 006.0056369 | VT | Primary |
Addresses
Primary practice location
372 Hurricane LN Ste 102
Williston, VT 05495-2080
Mailing address
372 Hurricane LN Ste 102
Williston, VT 05495-2080
Phone (802) 802-4971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790924892 | Other | TYPE 1 NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
46 S Main St
Ste 2
Waterbury, VT 05676
Phone (774) 473-8117
372 Hurricane Ln
Ste 102
Williston, VT 05495
Phone (802) 497-1002
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Williston, VT
- NPI 1790924892
-
- Massage Therapist
- Waterbury, VT
- NPI 1639432636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1841536430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 HURRICANE LN STE 102",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054952080",
"telephone_number": "802-802-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 HURRICANE LN STE 102",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054952080",
"telephone_number": "802-497-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVEWELL SPINE & SPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "WOLSTENHOLME",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-497-1002",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VT",
"license": "006.0056369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1790924892",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.