Wellness Sport & Spine Chiropractic PLLC
NPI 1417009283 · Chiropractor · Vestal, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellness Sport & Spine Chiropractic PLLC is a Chiropractor organization in Vestal, NY (NPI 1417009283).
Provider details
- NPI number
- 1417009283
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kim Miller, Doctor(607) 786-3601
- License
- X009961-1 (NY)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-01-18
- Last updated
- 2014-06-17
Frequently asked questions
- What is Wellness Sport & Spine Chiropractic PLLC's NPI number?
- Wellness Sport & Spine Chiropractic PLLC's National Provider Identifier (NPI) is 1417009283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness Sport & Spine Chiropractic PLLC?
- Wellness Sport & Spine Chiropractic PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Wellness Sport & Spine Chiropractic PLLC located?
- Wellness Sport & Spine Chiropractic PLLC's practice location on file with NPPES is 130 Front St, Vestal, NY 13850-1562.
- What is Wellness Sport & Spine Chiropractic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wellness Sport & Spine Chiropractic PLLC is (607) 786-3601.
- Does Wellness Sport & Spine Chiropractic PLLC accept Medicare?
- Wellness Sport & Spine Chiropractic PLLC 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 Wellness Sport & Spine Chiropractic PLLC?
- The authorized official listed on Wellness Sport & Spine Chiropractic PLLC's NPPES record is Kim Miller, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness Sport & Spine Chiropractic PLLC's NPI active?
- Yes — Wellness Sport & Spine Chiropractic PLLC's NPI (1417009283) is active in the NPPES registry as of the last update on 2014-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.