PONICK CHIROPRACTIC NPI 1730463050

NPI Information

  • NPI: 1730463050
  • Provider Name: PONICK CHIROPRACTIC
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Address: 9520 COUNTY HIGHWAY H
    STANLEY, WI
    ZIP 54768
  • Phone: (715) 644-5428

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NPI Details

PONICK CHIROPRACTIC is a sports physician chiropractor in Stanley, 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. PONICK CHIROPRACTIC NPI is 1730463050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9520 COUNTY HIGHWAY H
STANLEY, WI
ZIP 54768-033
Phone: (715) 644-5428
Fax: (715) 644-5486

The provider's authorized official is Kim Ponick .
The authorized official title is Office Manager and has the following contact phone number (715) 644-5428.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 5/9/2012.

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
1111NS0005XChiropractorSports Physician2802-12WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138861300MEDICAIDWISCONSIN

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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