SPORT AND SPINE RECOVERY CLINIC
NPI 1215600507
Chiropractor in Sun Prairie, WI

Active since August 01, 2021
414 W MAIN ST, SUN PRAIRIE, WI 53590(608) 514-1842(608) 305-8726 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2024, Aug 3, 2021 (2 updates tracked since 2021).

About Sport And Spine Recovery Clinic NPPES

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

SPORT AND SPINE RECOVERY CLINIC (NPI 1215600507) is a healthcare organization registered as a chiropractor in Sun Prairie, Wisconsin and active in the NPI registry since August 2021. The organization lists Nathaniel A Drees, Owner/employee, as its authorized official.

NPPES Registry Identity

NPI1215600507
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEXPRESS SPORT AND SPINE S.C.
Location Address414 W MAIN STSun Prairie, WI 53590-2912
Mailing Address414 W Main StSun Prairie, WI 53590-2912 · (608) 514-1842 · Fax (608) 305-8726
Fax(608) 305-8726
Organization SubpartNo
Authorized OfficialNathaniel A DreesOwner/employee · (312) 934-8542
Enumeration DateAugust 1, 2021
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1215600507 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.
414 W MAIN ST, Sun Prairie, WI 53590

Other Names 1

Doing Business AsSport And Spine Recovery Clinic

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sport And Spine Recovery Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20210930002681Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sport And Spine Recovery Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1003368630
414 W MAIN ST
Sun Prairie, WI 53590
(608) 514-1842
✔ Accepts MedicareSame address
Chiropractic
NPI 1104791367
412 W MAIN ST STE 2
Sun Prairie, WI 53590
(608) 514-1842
0.5 mi

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 Express Sport And Spine S.C.'s NPI number?

The NPI number for Express Sport And Spine S.C. is 1215600507. It was assigned to this organization in the NPPES registry on August 1, 2021. The provider is doing business as Sport And Spine Recovery Clinic.

Where is Express Sport And Spine S.C. located?

Express Sport And Spine S.C. is located at 414 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 514-1842.

What is Express Sport And Spine S.C.'s specialty?

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

Is Express Sport And Spine S.C. enrolled in Medicare?

Yes. Express Sport And Spine S.C. is registered in the Medicare PECOS enrollment system.

When is Express Sport And Spine S.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Express Sport And Spine S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Express Sport And Spine S.C.. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Express Sport And Spine S.C. accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners and Quartz list Express Sport And Spine S.C. 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 Express Sport And Spine S.C. was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.