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DR. RUSSELL BRADLEY ROTTACKER DC
NPI 1215900238
Chiropractor in Manteca, CA

Active since February 09, 2006PECOS Enrolled
321 N. MAIN ST, MANTECA, CA 95336(209) 824-8160(209) 824-8391 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Russell Bradley Rottacker Dc NPPES

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

DR. RUSSELL BRADLEY ROTTACKER DC (NPI 1215900238) is an individual chiropractor in Manteca, California, licensed in California (15553) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215900238
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RUSSELL BRADLEY ROTTACKERCredential: DC
Location Address321 N. MAIN STManteca, CA 95336
Mailing Address321 N. Main StManteca, CA 95336 · (209) 824-8160 · Fax (209) 824-8391
Phone(209) 824-8160
Fax(209) 824-8391
Sole ProprietorYes
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1215900238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 15553
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.
321 N. MAIN ST, Manteca, CA 95336
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russell Bradley Rottacker Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.
265 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 Russell Rottacker's NPI number?

The NPI number for Russell Rottacker is 1215900238. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Russell Rottacker located?

Russell Rottacker practices at 321 N. Main St, Manteca, CA 95336. The listed phone number is (209) 824-8160.

What is Russell Rottacker's specialty?

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

Is Russell Rottacker enrolled in Medicare?

Yes. Russell Rottacker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Rottacker was last updated on January 18, 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.