Active Chiropractic LLC
Active Chiropractic LLC is a healthcare organization registered as Chiropractor in Bloomer, WI, holding Type 2 (organization) NPI 1780851279 since 2008. The authorized official on file is Jacquelyn Russell, Chiropractic Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780851279 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Chiropractic LLC |
| Practice address | 1706 YORK ST, SUITE 5, Bloomer, WI, 54724 |
| Phone | 7155689923 |
| Fax | 7155689924 |
| Enumeration date | 2008-05-13 |
| Last updated in NPPES | 2008-06-04 |
Authorized official
| Name | Jacquelyn Russell |
|---|---|
| Title | Chiropractic Assistant |
| Phone | 7155689923 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 4151-012 | WI |
Copy-ready billing details
Provider: Active Chiropractic LLC NPI: 1780851279 Taxonomy: 111N00000X (Chiropractor) Address: 1706 YORK ST, SUITE 5, Bloomer, WI, 54724
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891986501 | Keith Levick | Individual | Chiropractor | Bloomer, WI |
| 1033654199 | My Foot Rx LLC | Organization | Prosthetic/Orthotic Supplier | Bloomer, WI |
Verify this record
Cross-check NPI 1780851279 against the authoritative CMS record: view Active Chiropractic LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Active Chiropractic LLC?
What is the NPI number for Active Chiropractic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-04.