Individual provider Active NPI

Chad Andrew Rechcygl, D.C.

  • Chiropractor
  • Mukwonago, WI
National Provider Identifier
1891012829
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4547-12 Issued in WI
Practice address
603 N Rochester St
Mukwonago, WI 53149-1139
Phone
(262) 363-5021
Fax
(262) 363-5037
NPI assigned
Apr 30, 2010
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4547-12 WI Primary

Addresses

Primary practice location

603 N Rochester St
Mukwonago, WI 53149-1139

Mailing address

603 N Rochester St
Mukwonago, WI 53149-1139
Phone (262) 363-5021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000724 WI Practitioner - Chiropractic 2062546344 Reassigns benefits to 1 organization
Practice locations: Hales Corners, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 N Rochester St
Mukwonago, WI 53149-1139
Phone (262) 363-5021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4547-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Family Chiropractic LLC Chiropractor CurrentSince May 1, 2017 Accepting new patients
Freedom Physical Therapy Services SC PastSince Aug 4, 2015 Accepting new patients
Chiro First Inc PastSince Aug 29, 2021 Accepting new patients

Locations

21075 Swenson Dr
Ste 700
Waukesha, WI 53186
Phone (262) 754-6850

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1891012829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491139",
            "telephone_number": "262-363-5021",
            "fax_number": "262-363-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491139",
            "telephone_number": "262-363-5021",
            "fax_number": "262-363-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHCYGL",
        "first_name": "CHAD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4547-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.