RYAN SCOTT WEINTRAUB
NPI 1366058307
Chiropractor in Rockford, IL

Active since September 16, 2020Accepts Medicare Assignment
863 S PERRYVILLE RD STE 100, ROCKFORD, IL 61108(779) 423-2044 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Scott Weintraub NPPES

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

RYAN SCOTT WEINTRAUB (NPI 1366058307) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038.013586) and active in the NPI registry since September 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1366058307
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRYAN SCOTT WEINTRAUB
Location Address863 S PERRYVILLE RD STE 100Rockford, IL 61108-4328
Mailing Address863 S Perryville Rd Ste 100Rockford, IL 61108-4328
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1366058307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038.013586
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.
863 S PERRYVILLE RD STE 100, Rockford, IL 61108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Scott Weintraub is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739590027
PECOS Enrollment IDI20201117002006

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108
Chiropractor
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108
General Practice
863 S PERRYVILLE RD STE 100
ROCKFORD, IL 61108

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 Ryan Weintraub's NPI number?

The NPI number for Ryan Weintraub is 1366058307. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Ryan Weintraub located?

Ryan Weintraub practices at 863 S Perryville Rd Ste 100, Rockford, IL 61108. The listed phone number is (779) 423-2044.

What is Ryan Weintraub's specialty?

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

Is Ryan Weintraub enrolled in Medicare?

Yes. Ryan Weintraub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Weintraub was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.