CONNECTICUT BACK & WELLNESS CHIROPRACTIC LLC
NPI 1679788517
Chiropractor in Monroe, CT

Active since May 14, 2007

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connecticut Back & Wellness Chiropractic Llc NPPES

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

CONNECTICUT BACK & WELLNESS CHIROPRACTIC LLC (NPI 1679788517) is a healthcare organization registered as a chiropractor in Monroe, Connecticut and active in the NPI registry since May 2007. The organization lists Nicola Vaccaro, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1679788517
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCONNECTICUT BACK & WELLNESS CHIROPRACTIC LLC
Location Address755 MAIN STMonroe, CT 06468-2830
Mailing Address755 Main StMonroe, CT 06468-2830 · (203) 261-0064
Organization SubpartNo
Authorized OfficialNicola VaccaroDoctor Of Chiropractic · (203) 261-0064
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679788517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 001186
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.
755 MAIN ST, Monroe, CT 06468

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Back & Wellness Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20111220000201Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Connecticut Back & Wellness Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1689798423
755 MAIN ST BLDG # 1
Monroe, CT 06468
(203) 261-0064
✔ 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 Connecticut Back & Wellness Chiropractic LLC's NPI number?

The NPI number for Connecticut Back & Wellness Chiropractic LLC is 1679788517. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Connecticut Back & Wellness Chiropractic LLC located?

Connecticut Back & Wellness Chiropractic LLC is located at 755 Main St, Monroe, CT 06468. The listed phone number is (203) 261-0064.

What is Connecticut Back & Wellness Chiropractic LLC's specialty?

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

Is Connecticut Back & Wellness Chiropractic LLC enrolled in Medicare?

Yes. Connecticut Back & Wellness Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Connecticut Back & Wellness Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Connecticut Back & Wellness Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Connecticut Back & Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Back & Wellness Chiropractic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.