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PAULL CHIROPRACTIC AT RIVERSEDGE
NPI 1285058966
Chiropractor - Sports Physician in Janesville, WI

Active since February 14, 2014
111 N MAIN ST, SUITE 100, JANESVILLE, WI 53545(608) 754-8977(608) 754-8979 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paull Chiropractic At Riversedge NPPES

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

PAULL CHIROPRACTIC AT RIVERSEDGE (NPI 1285058966) is a healthcare organization registered as a sports physician in Janesville, Wisconsin and active in the NPI registry since February 2014. The organization lists Andrew Paull, Owner/ Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1285058966
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameRIVERSEDGE CHIROPRACTIC, LLC
Location Address111 N MAIN ST, SUITE 100Janesville, WI 53545-3096
Mailing Address111 N Main St, Suite 100Janesville, WI 53545-3096 · (608) 754-8977 · Fax (608) 754-8979
Phone(608) 754-8977
Fax(608) 754-8979
Organization SubpartNo
Authorized OfficialAndrew PaullOwner/ Chiropractor · (608) 754-8977
Enumeration DateFebruary 14, 2014
✔ NPI 1285058966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in WI · 4035-012
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
111 N MAIN ST, Janesville, WI 53545
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Other Names 1

Doing Business AsPaull Chiropractic At Riversedge

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)

Paull Chiropractic At Riversedge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paull Chiropractic At Riversedge, 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 (3)

Andrew Paull, D.C.
Chiropractic
NPI 1437116068
111 N MAIN ST SUITE 100
Janesville, WI 53545
(608) 754-8977
Same address
Ryan Nichols, DC
Chiropractic
NPI 1912577396
111 N MAIN ST STE 100
Janesville, WI 53545
(608) 754-8977
0.3 mi
Amanda Nichols, D.C.
Chiropractic
NPI 1366928624
2377 CUMBERLAND SQUARE DR
Bettendorf, IA 52722
(563) 359-9541
109 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 Riversedge Chiropractic, LLC's NPI number?

The NPI number for Riversedge Chiropractic, LLC is 1285058966. It was assigned to this organization in the NPPES registry on February 14, 2014. The provider is doing business as Paull Chiropractic At Riversedge.

Where is Riversedge Chiropractic, LLC located?

Riversedge Chiropractic, LLC is located at 111 N Main St Suite 100, Janesville, WI 53545. The listed phone number is (608) 754-8977.

What is Riversedge Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Riversedge Chiropractic, LLC enrolled in Medicare?

Yes. Riversedge Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riversedge Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Riversedge Chiropractic, 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. 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.

When was this NPI record last updated?

The NPPES record for Riversedge Chiropractic, LLC was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.