WYATT CHIROPRACTIC CLINIC, LTD
NPI 1467668574
Chiropractor in Olney, IL

Active since May 15, 2007
731 S WEST ST, OLNEY, IL 62450(618) 392-5511 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wyatt Chiropractic Clinic, Ltd NPPES

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

WYATT CHIROPRACTIC CLINIC, LTD (NPI 1467668574) is a healthcare organization registered as a chiropractor in Olney, Illinois and active in the NPI registry since May 2007. The organization lists Ronald Jay Greenberg, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1467668574
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWYATT CHIROPRACTIC CLINIC, LTD
Location Address731 S WEST STOlney, IL 62450
Mailing Address731 S West St, Po Box 96Olney, IL 62450 · (618) 392-5511
Organization SubpartNo
Authorized OfficialRonald Jay GreenbergChief Executive Officer · (618) 392-5511
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 13, 2011
✔ NPI 1467668574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038004748
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.
731 S WEST ST, Olney, IL 62450

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)

Wyatt Chiropractic Clinic, Ltd 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 Wyatt Chiropractic Clinic, Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1407921448
731 S WEST ST
Olney, IL 62450
(618) 392-5511
1.1 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 Wyatt Chiropractic Clinic, Ltd's NPI number?

The NPI number for Wyatt Chiropractic Clinic, Ltd is 1467668574. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Wyatt Chiropractic Clinic, Ltd located?

Wyatt Chiropractic Clinic, Ltd is located at 731 S West St, Olney, IL 62450. The listed phone number is (618) 392-5511.

What is Wyatt Chiropractic Clinic, Ltd's specialty?

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

Is Wyatt Chiropractic Clinic, Ltd enrolled in Medicare?

Yes. Wyatt Chiropractic Clinic, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wyatt Chiropractic Clinic, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wyatt Chiropractic Clinic, Ltd. 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 Wyatt Chiropractic Clinic, Ltd was last updated on October 13, 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.