1. Home
  2. Directory
  3. Wisconsin
  4. Elkhorn
  5. Chiropractor
  6. NPI Profile

UNITED CHIROPRACTIC SPORTS & REHA
NPI 1467503656
Chiropractor in Elkhorn, WI

Active since January 15, 2007
422 N WISCONSIN ST STE A, ELKHORN, WI 53121(262) 723-3235(262) 723-8621 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About United Chiropractic Sports & Reha NPPES

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

UNITED CHIROPRACTIC SPORTS & REHA (NPI 1467503656) is a healthcare organization registered as a chiropractor in Elkhorn, Wisconsin and active in the NPI registry since January 2007. The organization lists Todd Philip Mortensen, Clinic Director And Owner, as its authorized official.

NPPES Registry Identity

NPI1467503656
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKETTLE MORAINE HEALTH & WELLNESS LLC
Location Address422 N WISCONSIN ST STE AElkhorn, WI 53121-1318
Mailing Address422 N Wisconsin St Ste AElkhorn, WI 53121-1318 · (262) 723-3235 · Fax (262) 723-8621
Phone(262) 723-3235
Fax(262) 723-8621
Organization SubpartNo
Authorized OfficialTodd Philip MortensenClinic Director And Owner · (262) 723-3235
Enumeration DateJanuary 15, 2007
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1467503656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 3859-012✔ Licensed in MN · 4229✔ Licensed in IL · 38010724
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.
422 N WISCONSIN ST STE A, Elkhorn, WI 53121
Open in Google Maps ↗

Other Names 1

Doing Business AsUnited Chiropractic Sports & Reha

Other Identifiers 7

Medicare UPINU94587WI
Medicaid39004100WI
Other390747208005WI · Bcbs Dr. Todds Pin
Medicaid38943900WI
Other776235397018WI · Bcbs Clinic
Medicare ID-Type Unspecified000035821WI · Medicare Group Number
Medicare PIN000135821WI

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 MULTIPLE 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)

United Chiropractic Sports & Reha 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 United Chiropractic Sports & Reha, which bills Medicare for the services this clinician delivers.

Clinician (1)

Todd Mortensen, D.C.
Chiropractic
NPI 1437200714
422 N WISCONSIN ST STE A
Elkhorn, WI 53121
(262) 723-3235
✔ Accepts MedicareSame address

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 Kettle Moraine Health & Wellness LLC's NPI number?

The NPI number for Kettle Moraine Health & Wellness LLC is 1467503656. It was assigned to this organization in the NPPES registry on January 15, 2007. The provider is doing business as United Chiropractic Sports & Reha.

Where is Kettle Moraine Health & Wellness LLC located?

Kettle Moraine Health & Wellness LLC is located at 422 N Wisconsin St Ste A, Elkhorn, WI 53121. The listed phone number is (262) 723-3235.

What is Kettle Moraine Health & Wellness LLC's specialty?

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

Is Kettle Moraine Health & Wellness LLC enrolled in Medicare?

Yes. Kettle Moraine Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kettle Moraine Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kettle Moraine Health & Wellness 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 Kettle Moraine Health & Wellness LLC was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.