PONICK CHIROPRACTIC
NPI 1730463050
Chiropractor - Sports Physician in Stanley, WI

Active since October 05, 2011
9520 COUNTY HIGHWAY H, STANLEY, WI 54768(715) 644-5428(715) 644-5486 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ponick Chiropractic NPPES

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

PONICK CHIROPRACTIC (NPI 1730463050) is a healthcare organization registered as a sports physician in Stanley, Wisconsin and active in the NPI registry since October 2011. The organization lists Kim Ponick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730463050
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NamePONICK CHIROPRACTIC
Location Address9520 COUNTY HIGHWAY HStanley, WI 54768-6033
Mailing Address9520 County Highway HStanley, WI 54768-6033 · (715) 644-5428 · Fax (715) 644-5486
Fax(715) 644-5486
Organization SubpartNo
Authorized OfficialKim PonickOffice Manager · (715) 644-5428
Enumeration DateOctober 5, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1730463050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in WI · 2802-12
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.
9520 COUNTY HIGHWAY H, Stanley, WI 54768

Other Identifiers 1

Medicaid38861300WI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ponick Chiropractic 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 Ponick Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1417964826
9520 COUNTY HIGHWAY H
Stanley, WI 54768
(715) 644-5428
✔ 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 Ponick Chiropractic's NPI number?

The NPI number for Ponick Chiropractic is 1730463050. It was assigned to this organization in the NPPES registry on October 5, 2011.

Where is Ponick Chiropractic located?

Ponick Chiropractic is located at 9520 County Highway H, Stanley, WI 54768. The listed phone number is (715) 644-5428.

What is Ponick Chiropractic's specialty?

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

Is Ponick Chiropractic enrolled in Medicare?

Yes. Ponick Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ponick Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ponick Chiropractic. 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 Ponick Chiropractic accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Ponick Chiropractic 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 Ponick Chiropractic was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.