Full Motion Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4937-12 Issued in WI

Legal business name

FULL MOTION FAMILY CHIROPRACTIC LLC

Practice address

20611 Watertown Rd Ste B
Waukesha, WI 53186-1871

Phone

(262) 395-4015

Fax

(262) 649-3600

NPI assigned

Oct 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Mabeus, D.C.NPI 1851732135

Title

Owner

Phone

(262) 395-4015

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.

• Jamie L Mabeus, D.C.

  • Chiropractor
  • Pewaukee, WI
  • NPI 1851732135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1891123741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD STE B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-395-4015",
            "fax_number": "262-649-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD STE B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-395-4015",
            "fax_number": "262-649-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOTION FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "MABEUS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-395-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4937-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Frost, BSW
• Emilee Fry
• Destiny Fryt
• Carla Frieda Fuentesbuendia, A.A.S. SAC
• Susan Fuhrman, MS, MSN, CCNS, APNP
• Shalyn Fuller
• Andrea Carmen Furby, MA. LPC, SAC-IT
• Dana Furru, SLP
• Jennifer Erin Fyksen
• Adelheid Theresa Gaertner

• All providers in Waukesha, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; 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.