Provider Demographics
NPI:1114533429
Name:ACHIEVE IMPROVED MOTION LLC
Entity Type:Organization
Organization Name:ACHIEVE IMPROVED MOTION LLC
Other - Org Name:ACTIVE CHIRO LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SIMEOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-928-9455
Mailing Address - Street 1:400 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3545
Mailing Address - Country:US
Mailing Address - Phone:203-928-9455
Mailing Address - Fax:203-693-4616
Practice Address - Street 1:400 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3545
Practice Address - Country:US
Practice Address - Phone:203-928-9455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty