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ELITE SPORT & SPINE, LLC
NPI 1053740803
Chiropractor in Waukesha, WI

Active since November 02, 2013
20900 SWENSON DR STE 575, WAUKESHA, WI 53186(262) 373-9168(262) 226-8383 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elite Sport & Spine, Llc NPPES

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

ELITE SPORT & SPINE, LLC (NPI 1053740803) is a healthcare organization registered as a chiropractor in Waukesha, Wisconsin and active in the NPI registry since November 2013. The organization lists Zach Shiels, Owner/doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1053740803
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELITE SPORT & SPINE, LLC
Location Address20900 SWENSON DR STE 575Waukesha, WI 53186-4040
Mailing Address20900 Swenson Dr Ste 575Waukesha, WI 53186-4040 · (262) 373-9168 · Fax (262) 226-8383
Phone(262) 373-9168
Fax(262) 226-8383
Organization SubpartNo
Authorized OfficialZach ShielsOwner/doctor Of Chiropractic · (262) 373-9168
Enumeration DateNovember 2, 2013
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1053740803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4968-12
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.
Also ListedPhysical TherapistTaxonomy 225100000X
20900 SWENSON DR STE 575, Waukesha, WI 53186
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Elite Sport & Spine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Brevin Jegerlehner, DPT
Physical Therapist in Private Practice
NPI 1407786585
20900 SWENSON DR
Waukesha, WI 53186
(608) 335-4440
Same address
Zacharias Shiels, D.C.
Chiropractic
NPI 1568891497
20900 SWENSON DR STE 575
Waukesha, WI 53186
(920) 723-5197
✔ Accepts MedicareSame address
Morgan Tramburg, DC
Chiropractic
NPI 1205705878
20900 SWENSON DR STE 575
Waukesha, WI 53186
(262) 373-9168
Same address
Adam Cosson, D.C.
Chiropractic
NPI 1912408246
200 E RYAN RD
Oak Creek, WI 53154
(414) 570-3590
✔ Accepts Medicare17 mi

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 Elite Sport & Spine, LLC's NPI number?

The NPI number for Elite Sport & Spine, LLC is 1053740803. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is Elite Sport & Spine, LLC located?

Elite Sport & Spine, LLC is located at 20900 Swenson Dr Ste 575, Waukesha, WI 53186. The listed phone number is (262) 373-9168.

What is Elite Sport & Spine, LLC's specialty?

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

Is Elite Sport & Spine, LLC enrolled in Medicare?

Yes. Elite Sport & Spine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Sport & Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Elite Sport & Spine, 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. The largest specialties are Chiropractic (3) and Physical Therapist in Private Practice (1). Of these, 3 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 Elite Sport & Spine, LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.