Organization Active NPI

Total Body Chiropractic PLLC

  • Health Service Clinic/Center
  • Louisville, KY
National Provider Identifier
1952768756
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5475 Issued in KY
Legal business name
TOTAL BODY CHIROPRACTIC PLLC
Practice address
10232 Shelbyville Rd
Suite 1a
Louisville, KY 40223-2978
Phone
(502) 785-4641
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Dr. Jillian R Porter, DCNPI 1801260369
Title
Doctor of Chiropractic
Phone
(812) 431-5252

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5475 KY Primary

Addresses

Primary practice location

10232 Shelbyville Rd
Suite 1a
Louisville, KY 40223-2978

Mailing address

10232 Shelbyville Rd
Suite 1a
Louisville, KY 40223-2978
Phone (502) 785-4641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160824002693 KY Part B Supplier - Clinic/Group Practice 8022303445 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

10232 Shelbyville Rd
Ste 1A
Louisville, KY 40223
Phone (502) 785-4641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1952768756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 SHELBYVILLE RD",
            "address_2": "SUITE 1A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232978",
            "telephone_number": "502-785-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 SHELBYVILLE RD",
            "address_2": "SUITE 1A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232978",
            "telephone_number": "502-785-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "812-431-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "5475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.