SPINE AND SPORT CENTER
NPI 1801263256
Chiropractor in Springfield, IL

Active since September 01, 2015
205 N GRAND AVE W, SPRINGFIELD, IL 62702(217) 525-2035 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spine And Sport Center NPPES

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

SPINE AND SPORT CENTER (NPI 1801263256) is a healthcare organization registered as a chiropractor in Springfield, Illinois and active in the NPI registry since September 2015. The organization lists Casey S Sitko, General Manager, as its authorized official.

NPPES Registry Identity

NPI1801263256
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE AND SPORT CENTER
Location Address205 N GRAND AVE WSpringfield, IL 62702-2550
Mailing Address205 N Grand Ave WSpringfield, IL 62702-2550 · (217) 525-2035
Organization SubpartNo
Authorized OfficialCasey S SitkoGeneral Manager · (217) 525-2035
Enumeration DateSeptember 1, 2015
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1801263256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038012871
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.
205 N GRAND AVE W, Springfield, IL 62702

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)

Spine And Sport Center 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 Spine And Sport Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1114394640
205 N GRAND AVE W
Springfield, IL 62702
(217) 525-2035
✔ 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 Spine And Sport Center's NPI number?

The NPI number for Spine And Sport Center is 1801263256. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Spine And Sport Center located?

Spine And Sport Center is located at 205 N Grand Ave W, Springfield, IL 62702. The listed phone number is (217) 525-2035.

What is Spine And Sport Center's specialty?

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

Is Spine And Sport Center enrolled in Medicare?

Yes. Spine And Sport Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine And Sport Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Spine And Sport Center. 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 Spine And Sport Center was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.