BODY CHIROPRACTIC PLLC
NPI 1124480280
Chiropractor in Sandy, UT

Active since March 27, 2016
11075 S STATE ST STE 11B, SANDY, UT 84070(801) 871-5652(888) 505-5245 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2023, Feb 5, 2019, Mar 27, 2016 (3 updates tracked since 2016).

About Body Chiropractic Pllc NPPES

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

BODY CHIROPRACTIC PLLC (NPI 1124480280) is a healthcare organization registered as a chiropractor in Sandy, Utah and active in the NPI registry since March 2016. The organization lists Kristina Herrera Portillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1124480280
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBODY CHIROPRACTIC PLLC
Location Address11075 S STATE ST STE 11BSandy, UT 84070-5190
Mailing AddressPo Box 95307South Jordan, UT 84095-0307 · (559) 393-4225
Fax(888) 505-5245
Organization SubpartNo
Authorized OfficialKristina Herrera PortilloOwner · (801) 871-5652
Enumeration DateMarch 27, 2016
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1124480280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 9537864-1202
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.
11075 S STATE ST STE 11B, Sandy, UT 84070

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)

Body Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Body Chiropractic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1518335066
11075 S STATE ST STE 11B
Sandy, UT 84070
(801) 871-5652
✔ Accepts MedicareSame address
Chiropractic
NPI 1528412582
11075 S STATE ST SUITE 6A
Sandy, UT 84070
(385) 290-7711
✔ 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 Body Chiropractic PLLC's NPI number?

The NPI number for Body Chiropractic PLLC is 1124480280. It was assigned to this organization in the NPPES registry on March 27, 2016.

Where is Body Chiropractic PLLC located?

Body Chiropractic PLLC is located at 11075 S State St Ste 11B, Sandy, UT 84070. The listed phone number is (801) 871-5652.

What is Body Chiropractic PLLC's specialty?

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

Is Body Chiropractic PLLC enrolled in Medicare?

Yes. Body Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Body Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Body Chiropractic PLLC. 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.

What insurance does Body Chiropractic PLLC accept?

Health plans from University of Utah Health Plans list Body Chiropractic PLLC 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 Body Chiropractic PLLC was last updated on August 15, 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.