RESTORE SPINE AND WELLNESS LLC
NPI 1013314947
Chiropractor in Thiensville, WI

Q: What is Restore Spine And Wellness LLC's NPI number?

The NPI number for Restore Spine And Wellness LLC is 1013314947. It was assigned to this organization in the NPPES registry on November 20, 2014. The provider was formerly known as Wellness Way Mequon LLC.

Q: What is Restore Spine And Wellness LLC's specialty?

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

Active since November 20, 2014

122 GREEN BAY RD STE 100, THIENSVILLE, WI 53092(262) 478-9104(262) 478-9105 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Feb 27, 2020, Jan 28, 2016 (3 updates tracked since 2016).

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About Restore Spine And Wellness Llc NPPES

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

RESTORE SPINE AND WELLNESS LLC (NPI 1013314947), doing business as Wellness Way Mequon Llc, is a healthcare organization registered as a chiropractor in Thiensville, Wisconsin and active in the NPI registry since November 2014. The organization lists Andrew Mcguire, Owner, as its authorized official.

NPPES Registry Identity

NPI1013314947

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameRESTORE SPINE AND WELLNESS LLC

Location Address122 GREEN BAY RD STE 100Thiensville, WI 53092-1679

Mailing Address122 Green Bay Rd Ste 100Thiensville, WI 53092-1679 · (262) 478-9104 · Fax (262) 478-9105

Phone(262) 478-9104

Fax(262) 478-9105

Organization SubpartNo

Authorized OfficialAndrew McguireOwner · (262) 478-9104

Enumeration DateNovember 20, 2014

Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1013314947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 3623-012

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.

122 GREEN BAY RD STE 100, Thiensville, WI 53092

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Other Names 1

Former Legal Business NameWellness Way Mequon Llc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restore Spine And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Restore Spine And Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Austin Gunderson, DC

Chiropractic

NPI 1306435466

122 GREEN BAY RD STE 100
Thiensville, WI 53092

(262) 478-9104

✔ Accepts MedicareSame address

Andrew Mcguire, D.C.

Chiropractic

NPI 1760820005

122 GREEN BAY RD STE 100
Thiensville, WI 53092

(262) 478-9104

✔ 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 Restore Spine And Wellness LLC's NPI number?

The NPI number for Restore Spine And Wellness LLC is 1013314947. It was assigned to this organization in the NPPES registry on November 20, 2014. The provider was formerly known as Wellness Way Mequon LLC.

Where is Restore Spine And Wellness LLC located?

Restore Spine And Wellness LLC is located at 122 Green Bay Rd Ste 100, Thiensville, WI 53092. The listed phone number is (262) 478-9104.

What is Restore Spine And Wellness LLC's specialty?

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

Is Restore Spine And Wellness LLC enrolled in Medicare?

Yes. Restore Spine And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restore Spine And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Restore Spine And Wellness LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restore Spine And Wellness LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.