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EAGLE SPORT & FAMILY CHIROPRACTIC PLLC
NPI 1861574410
Chiropractor - Sports Physician in Eagle, ID

Active since October 20, 2006
547 S FITNESS PL, SUITE 110, EAGLE, ID 83616(208) 939-3986(208) 319-2700 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eagle Sport & Family Chiropractic Pllc NPPES

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

EAGLE SPORT & FAMILY CHIROPRACTIC PLLC (NPI 1861574410) is a healthcare organization registered as a sports physician in Eagle, Idaho and active in the NPI registry since October 2006. The organization lists Kraig K Knotts, Owner, as its authorized official.

NPPES Registry Identity

NPI1861574410
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameEAGLE SPORT & FAMILY CHIROPRACTIC PLLC
Location Address547 S FITNESS PL, SUITE 110Eagle, ID 83616-6552
Mailing Address547 S Fitness Pl, Suite 110Eagle, ID 83616-6552 · (208) 939-3986 · Fax (208) 319-2700
Phone(208) 939-3986
Fax(208) 319-2700
Organization SubpartNo
Authorized OfficialKraig K KnottsOwner · (208) 939-3986
Enumeration DateOctober 20, 2006
Last NPPES UpdateApril 3, 2013
✔ NPI 1861574410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in ID · CHIA-1073
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.
547 S FITNESS PL, Eagle, ID 83616
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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 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)

Eagle Sport & Family Chiropractic Pllc 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 Eagle Sport & Family Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kraig Knotts, D.C.
Chiropractic
NPI 1205883170
547 S FITNESS PL SUITE 110
Eagle, ID 83616
(208) 939-3986
✔ 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 Eagle Sport & Family Chiropractic PLLC's NPI number?

The NPI number for Eagle Sport & Family Chiropractic PLLC is 1861574410. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Eagle Sport & Family Chiropractic PLLC located?

Eagle Sport & Family Chiropractic PLLC is located at 547 S Fitness Pl Suite 110, Eagle, ID 83616. The listed phone number is (208) 939-3986.

What is Eagle Sport & Family Chiropractic PLLC's specialty?

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

Is Eagle Sport & Family Chiropractic PLLC enrolled in Medicare?

Yes. Eagle Sport & Family Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagle Sport & Family Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eagle Sport & Family Chiropractic PLLC. 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 Eagle Sport & Family Chiropractic PLLC was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.