Organization Active NPI

Movewell Spine & Sport, LLC

  • Chiropractor
  • Williston, VT
National Provider Identifier
1841536430
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0056369 Issued in VT
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

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Jason Wolstenholme, DCNPI 1790924892
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1790924892OtherTYPE 1 NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121002042 VT Part B Supplier - Clinic/Group Practice 0547514911 Receives reassigned benefits from 1 practitioner
Practice locations: Williston, VT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.