PROACTIVE CHIROPRACTIC AND WELLNESS PLLC
NPI 1215334057
Chiropractor in Fairport, NY

Q: What is Proactive Chiropractic And Wellness PLLC's specialty?

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

Active since November 21, 2014

6605 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450(585) 278-8351 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Proactive Chiropractic And Wellness Pllc NPPES

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

PROACTIVE CHIROPRACTIC AND WELLNESS PLLC (NPI 1215334057) is a healthcare organization registered as a chiropractor in Fairport, New York and active in the NPI registry since November 2014. The organization lists Nicholas Prosser, Owner, as its authorized official.

NPPES Registry Identity

NPI1215334057

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePROACTIVE CHIROPRACTIC AND WELLNESS PLLC

Location Address6605 PITTSFORD PALMYRA RDFairport, NY 14450

Mailing Address6605 Pittsford Palmyra RdFairport, NY 14450-3407

Phone(585) 278-8351

Organization SubpartNo

Authorized OfficialNicholas ProsserOwner · (585) 278-8351

Enumeration DateNovember 21, 2014

Last NPPES UpdateJuly 11, 2018

✔ NPI 1215334057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MA · 3408

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.

6605 PITTSFORD PALMYRA RD, Fairport, NY 14450

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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)

Proactive Chiropractic And Wellness Pllc 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 Proactive Chiropractic And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Prosser, D.C

Chiropractic

NPI 1205173002

6605 PITTSFORD PALMYRA RD
Fairport, NY 14450

(585) 278-8351

✔ 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 Proactive Chiropractic And Wellness PLLC's NPI number?

The NPI number for Proactive Chiropractic And Wellness PLLC is 1215334057. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Proactive Chiropractic And Wellness PLLC located?

Proactive Chiropractic And Wellness PLLC is located at 6605 Pittsford Palmyra Rd, Fairport, NY 14450. The listed phone number is (585) 278-8351.

What is Proactive Chiropractic And Wellness PLLC's specialty?

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

Is Proactive Chiropractic And Wellness PLLC enrolled in Medicare?

Yes. Proactive Chiropractic And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Chiropractic And Wellness PLLC?

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

When was this NPI record last updated?

The NPPES record for Proactive Chiropractic And Wellness PLLC was last updated on July 11, 2018. 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.