Sports Chiropractic and Wellness Center PC
NPI 1356643001 · Chiropractor · Midvale, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Chiropractic and Wellness Center PC is a Chiropractor organization in Midvale, UT (NPI 1356643001).
Provider details
- NPI number
- 1356643001
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Bruce Nielson, Owner(801) 568-1598
- License
- 365045-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Other names (DBA / former)
- Doing business as
- Optimal Wellness Center
Registry dates
- Enumerated
- 2010-12-01
- Last updated
- 2016-06-01
Frequently asked questions
- What is Sports Chiropractic and Wellness Center PC's NPI number?
- Sports Chiropractic and Wellness Center PC's National Provider Identifier (NPI) is 1356643001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Chiropractic and Wellness Center PC?
- Sports Chiropractic and Wellness Center PC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Sports Chiropractic and Wellness Center PC located?
- Sports Chiropractic and Wellness Center PC's practice location on file with NPPES is 193 E Fort Union Blvd, Midvale, UT 84047-5660.
- What is Sports Chiropractic and Wellness Center PC's phone number?
- The practice phone number listed in the NPPES registry for Sports Chiropractic and Wellness Center PC is (801) 568-1598.
- Does Sports Chiropractic and Wellness Center PC accept Medicare?
- Sports Chiropractic and Wellness Center PC 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 Sports Chiropractic and Wellness Center PC?
- The authorized official listed on Sports Chiropractic and Wellness Center PC's NPPES record is Bruce Nielson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Chiropractic and Wellness Center PC's NPI active?
- Yes — Sports Chiropractic and Wellness Center PC's NPI (1356643001) is active in the NPPES registry as of the last update on 2016-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.