Wickaboag Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WICKABOAG FAMILY CHIROPRACTIC INC

Practice address

143 W Main St
W Brookfield, MA 01585-2812

Phone

(508) 867-6161

Fax

(508) 867-1961

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Linda Schaetzke, DCNPI 1821112376

Title

President

Phone

(508) 867-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

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.

• Linda Kay Schaetzke, DC

  • Chiropractor
  • West Brookfield, MA
  • NPI 1821112376
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1861059313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015850168",
            "telephone_number": "508-867-6161",
            "fax_number": "508-867-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W MAIN ST",
            "city": "W BROOKFIELD",
            "state": "MA",
            "postal_code": "015852812",
            "telephone_number": "508-867-6161",
            "fax_number": "508-867-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKABOAG FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "SCHAETZKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-867-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821112376",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lindadc1@netzero.net",
            "affiliation": "N",
            "address_1": "143 W Main St",
            "city": "W Brookfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015852812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brookhaven Rest Home
• Brookhaven Rest Home
• Gwen Marie Broz, DO
• Jessica Lynn McCann

• Chiropractor in W Brookfield, MA
• Providers in W Brookfield, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.