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LIFE FAMILY CHIROPRACTIC OF PORTLAND, LLC
NPI 1699368746
Chiropractor in Portland, CT

Active since February 18, 2021
234 MAIN ST, PORTLAND, CT 06480(860) 342-7277(860) 342-7281 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Family Chiropractic Of Portland, Llc NPPES

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

LIFE FAMILY CHIROPRACTIC OF PORTLAND, LLC (NPI 1699368746) is a healthcare organization registered as a chiropractor in Portland, Connecticut and active in the NPI registry since February 2021. The organization lists Michael Koster, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1699368746
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE FAMILY CHIROPRACTIC OF PORTLAND, LLC
Location Address234 MAIN STPortland, CT 06480-1861
Mailing Address234 Main StPortland, CT 06480-1861 · (860) 342-7277 · Fax (860) 342-7281
Phone(860) 342-7277
Fax(860) 342-7281
Organization SubpartNo
Authorized OfficialMichael KosterManaging Member · (860) 384-0494
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1699368746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
234 MAIN ST, Portland, CT 06480
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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)

Life Family Chiropractic Of Portland, Llc 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 Family Chiropractic Of Portland, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Malton, D.C.
Chiropractic
NPI 1659578342
234 MAIN ST
Portland, CT 06480
(860) 342-7277
✔ 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 Family Chiropractic Of Portland, LLC's NPI number?

The NPI number for Life Family Chiropractic Of Portland, LLC is 1699368746. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Life Family Chiropractic Of Portland, LLC located?

Life Family Chiropractic Of Portland, LLC is located at 234 Main St, Portland, CT 06480. The listed phone number is (860) 342-7277.

What is Life Family Chiropractic Of Portland, LLC's specialty?

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

Is Life Family Chiropractic Of Portland, LLC enrolled in Medicare?

Yes. Life Family Chiropractic Of Portland, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Family Chiropractic Of Portland, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Family Chiropractic Of Portland, 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 Life Family Chiropractic Of Portland, LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.