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SPINAL WELLNESS CENTER
NPI 1619233400
Chiropractor - Sports Physician in Albany, NY

Active since April 05, 2012
2021 WESTERN AVE, 102, ALBANY, NY 12203(518) 869-3415 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spinal Wellness Center NPPES

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

SPINAL WELLNESS CENTER (NPI 1619233400) is a healthcare organization registered as a sports physician in Albany, New York and active in the NPI registry since April 2012. The organization lists Kim M Leis-keeling, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1619233400
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameDR. KIM LEIS-KEELING, DC, PLLC
Location Address2021 WESTERN AVE, 102Albany, NY 12203-5069
Mailing Address1474 Siver RdGuilderland, NY 12084-9775 · (518) 982-0200
Phone(518) 869-3415
Organization SubpartNo
Authorized OfficialKim M Leis-keelingOwner/chiropractor · (518) 869-3415
Enumeration DateApril 5, 2012
Last NPPES UpdateJune 18, 2013
✔ NPI 1619233400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NY · X012138-1
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License X009338-1 (NY)
2021 WESTERN AVE, Albany, NY 12203
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Other Names 1

Doing Business AsSpinal Wellness Center

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)

Spinal Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spinal Wellness Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Amanda Boccio, D.C.
Chiropractic
NPI 1902229503
2021 WESTERN AVE SUITE 102
Albany, NY 12203
(518) 869-3415
✔ Accepts MedicareSame address
Lindsey Burnett-Hooper, D.C.
Chiropractic
NPI 1750032280
2021 WESTERN AVE STE 102
Albany, NY 12203
(518) 869-3415
✔ Accepts MedicareSame address
Kim Leis Keeling, D.C.
Chiropractic
NPI 1922069699
2021 WESTERN AVE
Albany, NY 12203
(518) 869-3415
✔ Accepts MedicareSame address
Emily Vanderveen, D.C.
Chiropractic
NPI 1053710806
645 SHELDON ROAD
Delanson, NY 12053
(518) 209-1787
✔ Accepts Medicare18 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 Dr. Kim Leis-Keeling, Dc, PLLC's NPI number?

The NPI number for Dr. Kim Leis-Keeling, Dc, PLLC is 1619233400. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Spinal Wellness Center.

Where is Dr. Kim Leis-Keeling, Dc, PLLC located?

Dr. Kim Leis-Keeling, Dc, PLLC is located at 2021 Western Ave 102, Albany, NY 12203. The listed phone number is (518) 869-3415.

What is Dr. Kim Leis-Keeling, Dc, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Dr. Kim Leis-Keeling, Dc, PLLC enrolled in Medicare?

Yes. Dr. Kim Leis-Keeling, Dc, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Kim Leis-Keeling, Dc, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Dr. Kim Leis-Keeling, Dc, PLLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Kim Leis-Keeling, Dc, PLLC was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.