TIETSORT CHIROPRACTIC CLINIC
NPI 1609179217
Chiropractor in Republic, WA
About Tietsort Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIETSORT CHIROPRACTIC CLINIC (NPI 1609179217) is a healthcare organization registered as a chiropractor in Republic, Washington and active in the NPI registry since December 2010. The organization lists Steven Tietsort, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Tietsort Chiropractic Clinic 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 Tietsort Chiropractic Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Tietsort Chiropractic Clinic's NPI number?
The NPI number for Tietsort Chiropractic Clinic is 1609179217. It was assigned to this organization in the NPPES registry on December 21, 2010.
Where is Tietsort Chiropractic Clinic located?
Tietsort Chiropractic Clinic is located at 28 North Keller Street, Republic, WA 99166. The listed phone number is (509) 775-3321.
What is Tietsort Chiropractic Clinic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tietsort Chiropractic Clinic enrolled in Medicare?
Yes. Tietsort Chiropractic Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tietsort Chiropractic Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tietsort Chiropractic Clinic. 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 Tietsort Chiropractic Clinic was last updated on December 21, 2010. 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.
# Tietsort Chiropractic Clinic · NPI 1609179217
Chiropractor organization in Republic, Washington. Organization record, active in the CMS NPPES registry since December 21, 2010.
## Identity
- **NPI:** 1609179217 (Entity type: Organization)
- **Enumerated:** December 21, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Steven Tietsort, OWNER
## Practice location
- **Address:** 28 NORTH KELLER STREET, Republic, WA 99166-0577
- **Phone:** (509) 775-3321 · **Fax:** (509) 775-3320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2010
- **Other identifiers:** Medicare UPIN 1629108436 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1609179217) · Data from the CMS NPPES public registry.