Leo Raymond Gonsowski III, DC, CSCS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3847-012 Issued in WI

Practice address

471 S Arch Ave
New Richmond, WI 54017-1832

Phone

(715) 246-5600

Fax

(715) 246-5806

NPI assigned

Oct 11, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851389167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-5600",
            "fax_number": "715-246-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-5600",
            "fax_number": "715-246-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSOWSKI",
        "first_name": "LEO",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "3847-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE WISCONSIN",
            "identifier": "666234",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "2C933GO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Gfall, COTA
• Amanda Margaret Gibbs, PA-C
• Joel David Gibson
• Goetzke Chiropractic Inc.
• Jamilla Goins, MS, SAC, LPC-IT
• Kimberly Graham
• Brianna Grahovac, MS, LPC-IT
• Great Lakes Oral & Maxillofacial Surgery, P.a.
• Ericka Green
• Chad James Griffith, M.D.

• Sports Physician Chiropractor in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.