KINETIC SPINE & SPORT
NPI 1003157769
Chiropractor in Mankato, MN

Active since March 06, 2013
1219 CALEDONIA ST, MANKATO, MN 56001(507) 345-7836(507) 345-7835 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2021, Jun 3, 2021, Apr 30, 2019 (3 updates tracked since 2019).

About Kinetic Spine & Sport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINETIC SPINE & SPORT (NPI 1003157769) is a healthcare organization registered as a chiropractor in Mankato, Minnesota and active in the NPI registry since March 2013. The organization lists Luke Alan Weber, President/owner, as its authorized official.

NPPES Registry Identity

NPI1003157769
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKINETIC CHIROPRACTIC, P.C.
Location Address1219 CALEDONIA STMankato, MN 56001-4329
Mailing Address1219 Caledonia StMankato, MN 56001-4329 · (507) 345-7836 · Fax (507) 345-7835
Fax(507) 345-7835
Organization SubpartNo
Authorized OfficialLuke Alan WeberPresident/owner · (507) 345-7836
Enumeration DateMarch 6, 2013
Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1003157769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5591
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1219 CALEDONIA ST, Mankato, MN 56001

Other Names 1

Doing Business AsKinetic Spine & Sport

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kinetic Spine & Sport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kinetic Spine & Sport, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1487198750
1219 CALEDONIA ST
Mankato, MN 56001
(507) 345-7836
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kinetic Chiropractic, P.C.'s NPI number?

The NPI number for Kinetic Chiropractic, P.C. is 1003157769. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Kinetic Spine & Sport.

Where is Kinetic Chiropractic, P.C. located?

Kinetic Chiropractic, P.C. is located at 1219 Caledonia St, Mankato, MN 56001. The listed phone number is (507) 345-7836.

What is Kinetic Chiropractic, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kinetic Chiropractic, P.C. enrolled in Medicare?

Yes. Kinetic Chiropractic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kinetic Chiropractic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kinetic Chiropractic, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kinetic Chiropractic, P.C. accept?

Health plans from HealthPartners list Kinetic Chiropractic, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kinetic Chiropractic, P.C. was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.