Progressive Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROGRESSIVE CHIROPRACTIC LLC

Doing business as

Progressive Chiropractic

Practice address

304 10TH St N
Mountain Lake, MN 56159-1591

Phone

(507) 427-3878

Fax

(507) 427-3531

NPI assigned

Jan 9, 2020

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Skow, DCNPI 1538279070

Title

Owner

Phone

(507) 427-3878

Specialties & licenses 1

Addresses

Other names 1

• Progressive Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

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, and the practitioner matching its NPPES authorized official.

• Phillip M Skow, D.C

  • Chiropractor
  • Mountain Lake, MN
  • NPI 1538279070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1891335790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561590317",
            "telephone_number": "507-427-3878",
            "fax_number": "507-427-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 10TH ST N",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561591591",
            "telephone_number": "507-427-3878",
            "fax_number": "507-427-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "MN",
            "postal_code": "560814595",
            "country_code": "US",
            "telephone_number": "507-427-3878",
            "fax_number": "507-427-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SKOW",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-427-3878",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Vivant Hildebrandt
• Independent School Dist. #173
• Amy Renee Olfert, MA, CCC-SLP
• Vernon Elliott Peterson, RPH.
• Megan Sharon Pohlman, PA-C
• Sanford Health Network (Sanford Clinic Mountain Lake)
• Erica Erin Schroeder, PHARMD
• Sioux Valley Clinic (Sioux Valley Clinic Mountain Lake)
• Phillip M Skow, D.C
• Noel Lea Smith

• Chiropractor in Mountain Lake, MN
• Providers in Mountain Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.