GLENN R WYSOCKI DC
NPI 1215064597
Chiropractor - Orthopedic in Kenosha, WI

Active since February 27, 2007
7537 22ND AVENUE, KENOSHA, WI 53143(262) 652-3100(262) 652-3100 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn R Wysocki Dc NPPES

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

GLENN R WYSOCKI DC (NPI 1215064597) is an individual orthopedic provider in Kenosha, Wisconsin, licensed in Wisconsin (1512) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - Davenport (1979).

NPPES Registry Identity

NPI1215064597
Entity TypeIndividualMale
Primary Taxonomy111NX0800X
Provider Legal NameGLENN R WYSOCKICredential: DC
Location Address7537 22ND AVENUEKenosha, WI 53143-5701
Mailing Address7537 22nd AvenueKenosha, WI 53143-5701 · (262) 652-3100 · Fax (262) 652-3100
Fax(262) 652-3100
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1979
Enumeration DateFebruary 27, 2007
Last NPPES UpdateDecember 9, 2011
NPI 1215064597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractor · OrthopedicChiropractic Providers
Taxonomy Code111NX0800X
License Licensed in WI · 1512
Definition
Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
Also ListedChiropractorTaxonomy 111N00000X · License 1512 (WI)
7537 22ND AVENUE, Kenosha, WI 53143

Other Identifiers 1

Medicare ID-Type Unspecified000075591

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn R Wysocki Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294997318
PECOS Enrollment IDI20120507000143

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
482 services28 patients

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 Glenn Wysocki's NPI number?

The NPI number for Glenn Wysocki is 1215064597. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Glenn Wysocki located?

Glenn Wysocki practices at 7537 22nd Avenue, Kenosha, WI 53143. The listed phone number is (262) 652-3100.

What is Glenn Wysocki's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Orthopedic, with taxonomy code 111NX0800X.

Is Glenn Wysocki enrolled in Medicare?

Yes. Glenn Wysocki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Wysocki was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.