KEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC.
NPI 1104002013
Chiropractor - Sports Physician in Keokuk, IA

Q: What is Keokuk Chiropractic & Sports Injury Center, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since January 10, 2008

924 MAIN ST, KEOKUK, IA 52632(319) 524-0905 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Keokuk Chiropractic & Sports Injury Center, Inc. NPPES

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

KEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC. (NPI 1104002013) is a healthcare organization registered as a sports physician in Keokuk, Iowa and active in the NPI registry since January 2008. The organization lists Dennis E. Wolter, President, as its authorized official.

NPPES Registry Identity

NPI1104002013

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameKEOKUK CHIROPRACTIC & SPORTS INJURY CENTER, INC.

Location Address924 MAIN STKeokuk, IA 52632-4655

Mailing Address924 Main StKeokuk, IA 52632-4655 · (319) 524-0905

Phone(319) 524-0905

Organization SubpartNo

Authorized OfficialDennis E. WolterPresident · (319) 524-0905

Enumeration DateJanuary 10, 2008

✔ NPI 1104002013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

924 MAIN ST, Keokuk, IA 52632

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Other Identifiers 4

Medicare UPINY06246IA

Other615537IA · Trigon

Other52935IA · Bcbs

Medicare PINI11572IA

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)

Keokuk Chiropractic & Sports Injury Center, Inc. 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 Keokuk Chiropractic & Sports Injury Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dennis Wolter, D.C.

Chiropractic

NPI 1144249418

924 MAIN ST
Keokuk, IA 52632

(319) 524-0905

✔ 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 Keokuk Chiropractic & Sports Injury Center, Inc.'s NPI number?

The NPI number for Keokuk Chiropractic & Sports Injury Center, Inc. is 1104002013. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Keokuk Chiropractic & Sports Injury Center, Inc. located?

Keokuk Chiropractic & Sports Injury Center, Inc. is located at 924 Main St, Keokuk, IA 52632. The listed phone number is (319) 524-0905.

What is Keokuk Chiropractic & Sports Injury Center, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Keokuk Chiropractic & Sports Injury Center, Inc. enrolled in Medicare?

Yes. Keokuk Chiropractic & Sports Injury Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keokuk Chiropractic & Sports Injury Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Keokuk Chiropractic & Sports Injury Center, Inc.. 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 Keokuk Chiropractic & Sports Injury Center, Inc. was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.