CHIRO ONE WELLNESS CENTER OF PEORIA LLC
NPI 1467094557
Chiropractor in Peoria, IL
About Chiro One Wellness Center Of Peoria Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHIRO ONE WELLNESS CENTER OF PEORIA LLC (NPI 1467094557) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since October 2019. The organization lists Sam Wang, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chiro One Wellness Center Of Peoria Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Chiro One Wellness Center Of Peoria LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Chiro One Wellness Center Of Peoria LLC's NPI number?
The NPI number for Chiro One Wellness Center Of Peoria LLC is 1467094557. It was assigned to this organization in the NPPES registry on October 10, 2019.
Where is Chiro One Wellness Center Of Peoria LLC located?
Chiro One Wellness Center Of Peoria LLC is located at 4125 N Sheridan Rd, Peoria, IL 61614. The listed phone number is (309) 740-0977.
What is Chiro One Wellness Center Of Peoria LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Chiro One Wellness Center Of Peoria LLC enrolled in Medicare?
Yes. Chiro One Wellness Center Of Peoria LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chiro One Wellness Center Of Peoria LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Chiro One Wellness Center Of Peoria 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chiro One Wellness Center Of Peoria LLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Chiro One Wellness Center Of Peoria Llc · NPI 1467094557
Chiropractor organization in Peoria, Illinois. Organization record, active in the CMS NPPES registry since October 10, 2019.
## Identity
- **NPI:** 1467094557 (Entity type: Organization)
- **Enumerated:** October 10, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Sam Wang, COO
## Practice location
- **Address:** 4125 N SHERIDAN RD, Peoria, IL 61614-7167
- **Phone:** (309) 740-0977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1467094557) · Data from the CMS NPPES public registry.