PROCARE SPORT & SPINE, LLC
NPI 1134845035
Chiropractor in Madison, WI

Active since October 13, 2022
555 S MIDVALE BLVD STE 113, MADISON, WI 53711(608) 292-4466 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Procare Sport & Spine, Llc NPPES

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

PROCARE SPORT & SPINE, LLC (NPI 1134845035) is a healthcare organization registered as a chiropractor in Madison, Wisconsin and active in the NPI registry since October 2022. The organization lists Michael Alvah Blodgett, Owner, as its authorized official.

NPPES Registry Identity

NPI1134845035
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePROCARE SPORT & SPINE, LLC
Location Address555 S MIDVALE BLVD STE 113Madison, WI 53711-1419
Mailing Address555 S Midvale Blvd Ste 113Madison, WI 53711-1419 · (608) 292-4466
Organization SubpartNo
Authorized OfficialMichael Alvah BlodgettOwner · (608) 292-4466
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1134845035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
555 S MIDVALE BLVD STE 113, Madison, WI 53711

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)

Procare Sport & Spine, 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 Procare Sport & Spine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1881062156
555 S MIDVALE BLVD STE 113
Madison, WI 53711
(608) 292-4466
✔ 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 Procare Sport & Spine, LLC's NPI number?

The NPI number for Procare Sport & Spine, LLC is 1134845035. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Procare Sport & Spine, LLC located?

Procare Sport & Spine, LLC is located at 555 S Midvale Blvd Ste 113, Madison, WI 53711. The listed phone number is (608) 292-4466.

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

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

Is Procare Sport & Spine, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Procare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Procare Sport & Spine, LLC was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.