Elite Sport & Spine, LLC
NPI 1053740803ActiveOrganization· Chiropractor· Waukesha, WI
Chiropractor in Waukesha, Wisconsin, registered in NPPES in November 2013. The authorized official on file is Zach Shiels, DC, Owner/Doctor Of Chiropractic. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053740803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2013 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4968-12 | WI |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
Other chiropractors in Waukesha
- 1033242383
- 1043453426
- 1043564610
- 1093057994
- 1144419714
- 1174879365
- 1174975411
- 1194581140
- 1225425226
- 1245455153
- 1265549687
- 1265806236
All 68 chiropractors in Waukesha · All chiropractors in Wisconsin