SOUTHBURY SPORTS AND SPINE CHIROPRACTIC LLC
NPI 1467142208
Chiropractor in Southbury, CT

Q: What is Southbury Sports And Spine Chiropractic LLC's specialty?

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

Active since May 12, 2023

220 MAIN ST S, SOUTHBURY, CT 06488(203) 209-6316 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, May 13, 2024, May 12, 2023 (3 updates tracked since 2023).

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About Southbury Sports And Spine Chiropractic Llc NPPES

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

SOUTHBURY SPORTS AND SPINE CHIROPRACTIC LLC (NPI 1467142208) is a healthcare organization registered as a chiropractor in Southbury, Connecticut and active in the NPI registry since May 2023. The organization lists Erick Kuczo, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1467142208

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTHBURY SPORTS AND SPINE CHIROPRACTIC LLC

Location Address220 MAIN ST SSouthbury, CT 06488-2275

Mailing Address220 Main St S Ste 205Southbury, CT 06488-2275 · (203) 586-5000

Phone(203) 209-6316

Organization SubpartNo

Authorized OfficialErick KuczoChiropractic Physician · (203) 209-6316

Enumeration DateMay 12, 2023

Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1467142208 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.

220 MAIN ST S, Southbury, CT 06488

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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)

Southbury Sports And Spine Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southbury Sports And Spine Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Erick Kuczo

Chiropractic

NPI 1699315259

220 MAIN ST S STE 205
Southbury, CT 06488

(203) 586-5000

✔ Accepts Medicare0.7 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 Southbury Sports And Spine Chiropractic LLC's NPI number?

The NPI number for Southbury Sports And Spine Chiropractic LLC is 1467142208. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Southbury Sports And Spine Chiropractic LLC located?

Southbury Sports And Spine Chiropractic LLC is located at 220 Main St S, Southbury, CT 06488. The listed phone number is (203) 209-6316.

What is Southbury Sports And Spine Chiropractic LLC's specialty?

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

Is Southbury Sports And Spine Chiropractic LLC enrolled in Medicare?

Yes. Southbury Sports And Spine Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southbury Sports And Spine Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southbury Sports And Spine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southbury Sports And Spine Chiropractic LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.