Active NPI
Life in Balance Wellness LLC
- Chiropractor
- Travelers Rest, SC
National Provider Identifier
1902569536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LIFE IN BALANCE WELLNESS LLC
- Practice address
- 101 Center St
Travelers Rest, SC 29690-1828 - Phone
- (979) 995-4909
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris Alan Kowalik, DC
- Title
- Owner
- Phone
- (979) 995-4909
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
101 Center St
Travelers Rest, SC 29690-1828
Mailing address
215 Love Dr
Travelers Rest, SC 29690-1806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4469 | Other | SC | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Janeapp | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Center St
Travelers Rest, SC 29690
Phone (978) 995-4909
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1902569536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 LOVE DR",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CENTER ST",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901828",
"telephone_number": "979-995-4909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE IN BALANCE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "KOWALIK",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "979-995-4909",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4469",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Janeapp",
"affiliation": "N",
"endpointDescription": "Software",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Software",
"address_1": "101 Center St",
"city": "Travelers Rest",
"state": "SC",
"country_code": "US",
"postal_code": "296901828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.