PRO HEALTH CHIROPRACTIC LLC
NPI 1669630562
Chiropractor in Sun Prairie, WI

Active since May 28, 2008
1777 W MAIN ST STE 107, SUN PRAIRIE, WI 53590(608) 318-2410(608) 318-2412 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Pro Health Chiropractic Llc NPPES

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

PRO HEALTH CHIROPRACTIC LLC (NPI 1669630562) is a healthcare organization registered as a chiropractor in Sun Prairie, Wisconsin and active in the NPI registry since May 2008. The organization maintains a secondary practice location in Sun Prairie and lists Geri Cadwallader, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669630562
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRO HEALTH CHIROPRACTIC LLC
Location Address1777 W MAIN ST STE 107Sun Prairie, WI 53590-3100
Mailing Address1777 W Main St Ste 107Sun Prairie, WI 53590-3100 · (608) 318-2410 · Fax (608) 318-2412
Fax(608) 318-2412
Organization SubpartNo
Authorized OfficialGeri CadwalladerOffice Manager · (608) 318-2410
Enumeration DateMay 28, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1669630562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 038010988
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.
1777 W MAIN ST STE 107, Sun Prairie, WI 53590

Secondary Practice Location 1

Location 12410 Montana AveSun Prairie, WI 53590-1617 · Phone (608) 318-2410

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)

Pro Health Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pro Health Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Chiropractic
NPI 1093709305
1777 W MAIN ST STE 107
Sun Prairie, WI 53590
(608) 318-2410
✔ Accepts MedicareSame address
Chiropractic
NPI 1518689454
1777 W MAIN ST
Sun Prairie, WI 53590
(608) 318-2410
✔ Accepts MedicareSame address
Chiropractic
NPI 1235711011
1777 W MAIN ST
Sun Prairie, WI 53590
(608) 318-2410
✔ Accepts MedicareSame address
Chiropractic
NPI 1275267296
1777 W MAIN ST STE 107
Sun Prairie, WI 53590
(608) 318-2410
Same address
Chiropractic
NPI 1073095949
6515 GRAND TETON PLZ STE 100
Madison, WI 53719
(608) 841-2288
✔ Accepts Medicare15 mi
Chiropractic
NPI 1477387538
5804 E GOVERNOR JOHN SEVIER HWY
Knoxville, TN 37924
(865) 951-2811
✔ Accepts Medicare572 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 Pro Health Chiropractic LLC's NPI number?

The NPI number for Pro Health Chiropractic LLC is 1669630562. It was assigned to this organization in the NPPES registry on May 28, 2008.

Where is Pro Health Chiropractic LLC located?

Pro Health Chiropractic LLC is located at 1777 W Main St Ste 107, Sun Prairie, WI 53590. The listed phone number is (608) 318-2410.

What is Pro Health Chiropractic LLC's specialty?

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

Is Pro Health Chiropractic LLC enrolled in Medicare?

Yes. Pro Health Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Health Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Pro Health 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. Of these, 4 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 Pro Health Chiropractic LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.