Organization Active NPI

Wellness Unlimited LLC

  • Chiropractor
  • New Albany, IN
National Provider Identifier
1992141592
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002620A Issued in IN
Legal business name
WELLNESS UNLIMITED LLC
Practice address
2580 Charlestown Rd
New Albany, IN 47150-2555
Phone
(812) 329-3558
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Martie Blue, D.C.NPI 1245286574
Title
Owner
Phone
(812) 329-3558

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002620A IN Primary

Addresses

Primary practice location

2580 Charlestown Rd
New Albany, IN 47150-2555

Mailing address

2580 Charlestown Rd
New Albany, IN 47150-2555
Phone (812) 329-3558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210826001377 IL Part B Supplier - Clinic/Group Practice 3971734195 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IL

National Provider Directory

National Provider Directory

Locations

1007 W Main St
Marion, IL 62959
Phone (618) 964-6976

302 S Market St
#B
Marion, IL 62959
Phone (618) 964-6976

2580 Charlestown Rd
New Albany, IN 47150
Phone (812) 329-3558

2610 Gleeson Way
#101
Louisville, KY 40299
Phone (502) 208-9946

970 Barret Ave
Louisville, KY 40204
Phone (502) 208-9946

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1992141592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502555",
            "telephone_number": "812-329-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502555",
            "telephone_number": "812-329-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS UNLIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "MARTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-329-3558",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002620A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.