MODERN CHIROPRACTIC & WELLNESS,LLC
NPI 1073025185
Chiropractor in Fairview Park, OH
About Modern Chiropractic & Wellness,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERN CHIROPRACTIC & WELLNESS,LLC (NPI 1073025185) is a healthcare organization registered as a chiropractor in Fairview Park, Ohio and active in the NPI registry since October 2017. The organization lists Mark D Petro, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Modern Chiropractic & Wellness,llc 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 Modern Chiropractic & Wellness,llc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Modern Chiropractic & Wellness,llc's NPI number?
The NPI number for Modern Chiropractic & Wellness,llc is 1073025185. It was assigned to this organization in the NPPES registry on October 30, 2017.
Where is Modern Chiropractic & Wellness,llc located?
Modern Chiropractic & Wellness,llc is located at 21800 Lorain Rd, Fairview Park, OH 44126. The listed phone number is (216) 712-6820.
What is Modern Chiropractic & Wellness,llc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Modern Chiropractic & Wellness,llc enrolled in Medicare?
Yes. Modern Chiropractic & Wellness,llc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Chiropractic & Wellness,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Modern Chiropractic & 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Modern Chiropractic & Wellness,llc was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Modern Chiropractic & Wellness,llc · NPI 1073025185
Chiropractor organization in Fairview Park, Ohio. Organization record, active in the CMS NPPES registry since October 30, 2017.
## Identity
- **NPI:** 1073025185 (Entity type: Organization)
- **Enumerated:** October 30, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Mark Petro, OWNER
## Practice location
- **Address:** 21800 LORAIN RD, Fairview Park, OH 44126-3331
- **Phone:** (216) 712-6820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2017
- **Other identifiers:** Other 4572 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1073025185) · Data from the CMS NPPES public registry.