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LIFE SOURCE CHIROPRACTIC INC.
NPI 1669731477
Chiropractor in Rutland, VT

Active since May 14, 2012
90 MAHONEY AVE, RUTLAND, VT 05701(802) 773-0010(802) 773-0010 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Source Chiropractic Inc. NPPES

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

LIFE SOURCE CHIROPRACTIC INC. (NPI 1669731477) is a healthcare organization registered as a chiropractor in Rutland, Vermont and active in the NPI registry since May 2012. The organization lists Jared Galster, President, as its authorized official.

NPPES Registry Identity

NPI1669731477
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE SOURCE CHIROPRACTIC INC.
Location Address90 MAHONEY AVERutland, VT 05701-4836
Mailing Address90 Mahoney AveRutland, VT 05701-4836 · (802) 773-0010 · Fax (802) 773-0010
Phone(802) 773-0010
Fax(802) 773-0010
Organization SubpartNo
Authorized OfficialJared GalsterPresident · (802) 773-0010
Enumeration DateMay 14, 2012
Last NPPES UpdateAugust 26, 2014
✔ NPI 1669731477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VT · 0060072505
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.
90 MAHONEY AVE, Rutland, VT 05701
Open in Google Maps ↗

Other Identifiers 2

Other0028156VT · Medicare Ptan
Medicaid1022039VT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Source Chiropractic Inc. 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 Life Source Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jared Galster, D.C.
Chiropractic
NPI 1497087159
90 MAHONEY AVE
Rutland, VT 05701
(802) 773-0010
✔ 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 Life Source Chiropractic Inc.'s NPI number?

The NPI number for Life Source Chiropractic Inc. is 1669731477. It was assigned to this organization in the NPPES registry on May 14, 2012.

Where is Life Source Chiropractic Inc. located?

Life Source Chiropractic Inc. is located at 90 Mahoney Ave, Rutland, VT 05701. The listed phone number is (802) 773-0010.

What is Life Source Chiropractic Inc.'s specialty?

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

Is Life Source Chiropractic Inc. enrolled in Medicare?

Yes. Life Source Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Source Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Source Chiropractic Inc.. 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.

What insurance does Life Source Chiropractic Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Life Source Chiropractic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Source Chiropractic Inc. was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.