PARK PLACE CHIROPRACTIC LLC NPI 1205961331

NPI Information

  • NPI: 1205961331
  • Provider Name: PARK PLACE CHIROPRACTIC, LLC
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Address: 1831 W COURT ST
    JANESVILLE, WI
    ZIP 53548
  • Phone: (608) 754-7463

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NPI Details

PARK PLACE CHIROPRACTIC, LLC is a sports physician chiropractor in Janesville, WI. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. PARK PLACE CHIROPRACTIC, LLC NPI is 1205961331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1831 W COURT ST
JANESVILLE, WI
ZIP 53548-406
Phone: (608) 754-7463
Fax: (608) 754-1437

The provider's authorized official is Andrew Paull .
The authorized official title is Chiropractor and has the following contact phone number (608) 754-7463.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4035-012WISCONSINNo
2111NS0005XChiropractorSports Physician4035-012WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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