MANITOWOC CHIROPRACTIC LLC
NPI 1962284059
Chiropractor in Manitowoc, WI

Active since October 16, 2023
1 E WALDO BLVD STE 1, MANITOWOC, WI 54220(920) 683-3800 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2024, Dec 4, 2023, Oct 16, 2023 (3 updates tracked since 2023).

About Manitowoc Chiropractic Llc NPPES

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

MANITOWOC CHIROPRACTIC LLC (NPI 1962284059) is a healthcare organization registered as a chiropractor in Manitowoc, Wisconsin and active in the NPI registry since October 2023. The organization lists David John Portmann, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1962284059
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMANITOWOC CHIROPRACTIC LLC
Location Address1 E WALDO BLVD STE 1Manitowoc, WI 54220-2912
Mailing Address1 E Waldo Blvd Ste 1Manitowoc, WI 54220-2912 · (920) 683-3800 · Fax (920) 683-1230
Organization SubpartNo
Authorized OfficialDavid John PortmannChiropractor · (920) 683-3800
Enumeration DateOctober 16, 2023
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1962284059 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.
1 E WALDO BLVD STE 1, Manitowoc, WI 54220

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)

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

Clinician (1)

Chiropractic
NPI 1073534616
516 S WISCONSIN DR
Howards Grove, WI 53083
(920) 565-3922
✔ Accepts Medicare21 mi

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 Manitowoc Chiropractic LLC's NPI number?

The NPI number for Manitowoc Chiropractic LLC is 1962284059. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Manitowoc Chiropractic LLC located?

Manitowoc Chiropractic LLC is located at 1 E Waldo Blvd Ste 1, Manitowoc, WI 54220. The listed phone number is (920) 683-3800.

What is Manitowoc Chiropractic LLC's specialty?

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

Is Manitowoc Chiropractic LLC enrolled in Medicare?

Yes. Manitowoc Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manitowoc Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Manitowoc 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 Manitowoc Chiropractic LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.