Peoria Spine and Sport Ltd.
NPI 1134764517 · Chiropractor · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peoria Spine and Sport Ltd. is a Chiropractor organization in Peoria, IL (NPI 1134764517).
Provider details
- NPI number
- 1134764517
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jaclyn Deig, Office Manager(805) 266-9619
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-09
- Last updated
- 2025-08-02
- Certified
- 2025-08-02
Frequently asked questions
- What is Peoria Spine and Sport Ltd.'s NPI number?
- Peoria Spine and Sport Ltd.'s National Provider Identifier (NPI) is 1134764517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peoria Spine and Sport Ltd.?
- Peoria Spine and Sport Ltd. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Peoria Spine and Sport Ltd. located?
- Peoria Spine and Sport Ltd.'s practice location on file with NPPES is 8305 N Allen Rd Ste 7, Peoria, IL 61615-1816.
- What is Peoria Spine and Sport Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Peoria Spine and Sport Ltd. is (309) 621-1410.
- Does Peoria Spine and Sport Ltd. accept Medicare?
- Peoria Spine and Sport Ltd. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peoria Spine and Sport Ltd.?
- The authorized official listed on Peoria Spine and Sport Ltd.'s NPPES record is Jaclyn Deig, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peoria Spine and Sport Ltd.'s NPI active?
- Yes — Peoria Spine and Sport Ltd.'s NPI (1134764517) is active in the NPPES registry as of the last update on 2025-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.