Individual provider Active NPI

Phoxay Phetthongsy, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1942389663
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010252 Issued in IL
Practice address
1212 S Naper Blvd Ste 115
Naperville, IL 60540-7300
Phone
(630) 777-0171
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010252 IL Primary
Chiropractor 111N00000X 038010252 IL

Addresses

Primary practice location

1212 S Naper Blvd Ste 115
Naperville, IL 60540-7300

Mailing address

1212 S Naper Blvd Ste 115
Naperville, IL 60540-7300
Phone (630) 777-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511003061 IL Practitioner - Chiropractic 7315999737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 S Naper Blvd
Suite 115
Naperville, IL 60540-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010252ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Health LLC Chiropractor Current Accepting new patients
Rowell Healthcare Incorporated Chiropractor Past Accepting new patients

Locations

1212 S Naper Blvd
Ste 115
Naperville, IL 60540
Phone (630) 357-9833

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1942389663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD STE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407300",
            "telephone_number": "630-777-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD STE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407300",
            "telephone_number": "630-777-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHETTHONGSY",
        "first_name": "PHOXAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010252",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.