PERFORMANCE CHIROPRACTIC CLINIC, LLC (NPI# 1114305059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114305059 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE CHIROPRACTIC CLINIC, LLC |
| Practice Address |
11430 W Bluemound Rd 109 Wauwatosa WI 53226-4050 |
| Practice Telephone | 2624227457 |
| Mailing Telephone | 2624227457 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | DR. MADALYN PERRY (OWNER) |
| Authorized Official Telephone | 2624227457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4641-12 | WI | Chiropractic Providers |
| Street Address |
11430 W BLUEMOUND RD 109 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780730515 | Sheila W. Sorkin, M.d. LLC | Psychiatry & Neurology | 11430 W Bluemound Rd, Suite 109, Wauwatosa, WI 53226-4050 | 2007-01-26 |
| 1437690294 | Peace of Mind Home Health LLC | In Home Supportive Care | 11430 W Bluemound Rd, Suite #103, Wauwatosa, WI 53226-4050 | 2017-03-13 |
| 1033419833 | Madalyn Jessica Perry | Chiropractor | 11430 W Bluemound Rd, Ste 109, Wauwatosa, WI 53226-4050 | 2010-10-26 |
| 1164677001 | Jeffrey William Grosskopf | Chiropractor | 11430 W Bluemound Rd, Suite 203, Wauwatosa, WI 53226-4050 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215335047 | Rebecca Weidner | Chiropractor | 10625 W North Ave Ste Ll3, Wauwatosa, WI 53226-2315 | 2014-12-10 |
| 1508135708 | Wisconsin Pain & Rehab, LLC | Chiropractor | 2100 N Mayfair Rd, 201, Wauwatosa, WI 53226-2239 | 2011-12-19 |
| 1649411703 | Performance Chiropractic Center, S.c. | Chiropractor | 11430 W Bluemound Rd Ste 203, Wauwatosa, WI 53226-4050 | 2009-03-18 |
| 1265553275 | Olm Chiropractic Clinic Sc | Chiropractor | 7229 W Center Street, Wauwatosa, WI 53210-1126 | 2007-04-03 |
| 1336276625 | Apps Chiropractic and Wellness Center Inc | Chiropractor | 933 N Mayfair Rd Ste 107, Wauwatosa, WI 53226-3432 | 2007-02-27 |
| 1770619728 | Lana Marie Olm | Chiropractor | 7229 West Center Street, Wauwatosa, WI 53210-1126 | 2007-02-26 |
| 1851447759 | Dr Loofboro Sc | Chiropractor | 11038 W Capital Drive, Wauwatosa, WI 53222 | 2007-01-25 |
| 1467507160 | Dr. Liz Hood, S.c. | Chiropractor | 2645 N. Mayfair Rd., Suite 140, Wauwatosa, WI 53226-2239 | 2007-01-24 |
| 1093879819 | Christopher James Beyer | Chiropractor | 6331 W North Ave, Wauwatosa, WI 53213-2012 | 2006-12-19 |
| 1679634851 | Herbert E Kuehnemann | Chiropractor | 6610 W North Avenue, Wauwatosa, WI 53213 | 2006-12-12 |
| Find all providers in WAUWATOSA | ||||
Please comment or provide details below to improve the information on PERFORMANCE CHIROPRACTIC CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.