Racine Sports and Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RACINE SPORTS AND FAMILY CHIROPRACTIC, LLC

Practice address

7033 Washington Ave
Mount Pleasant, WI 53406-6524

Phone

(262) 770-5997

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Joseph TateNPI 1700417102

Title

Partner

Phone

(262) 770-5997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Tate, DC

  • Chiropractor
  • Mount Pleasant, WI
  • NPI 1700417102
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1851196364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 WASHINGTON AVE STE 102",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066524",
            "telephone_number": "262-770-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 WASHINGTON AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066524",
            "telephone_number": "262-770-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE SPORTS AND FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "262-770-5997"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Pust, M.S. OTR/L
• Janis Putirskis, RN
• Matthew Caton Putman, DPT
• Racine Anesthesia Services, LLC
• Racine Senior Living, Inc.
• Jenna Radowski, MS ATR LCPC
• Douglas Radtke, LMT, BCTMB
• Marisa Raineri, PT, DPT
• Elizabeth Myunghee Ralston, APN
• Priya Ramdass, M.D

• Chiropractor in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.