Active NPI
Phoxay Phetthongsy, D.C.
- Chiropractor
- Naperville, IL
National Provider Identifier
1942389663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010252 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Naperville, IL
- NPI 1548129950
-
dba River East Chiropractic Wellness Center
- Chiropractor
- Chicago, IL
- NPI 1235500257
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.