Organization Active NPI

Thrive Chiropractic, LLC

  • Chiropractor
  • Quincy, IL
National Provider Identifier
1003261751
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012926 Issued in IL
Legal business name
THRIVE CHIROPRACTIC, LLC
Practice address
332 S 36TH St
Suite 3
Quincy, IL 62301-5808
Phone
(217) 779-6504
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daryle Ann Hightower, D.C.NPI 1154789956
Title
Member
Phone
(217) 779-6504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012926 IL Primary

Addresses

Primary practice location

332 S 36TH St
Suite 3
Quincy, IL 62301-5808

Mailing address

332 S 36TH St
Suite 3
Quincy, IL 62301-5808
Phone (217) 779-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160627001220 IL Part B Supplier - Clinic/Group Practice 2860783677 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, IL

National Provider Directory

National Provider Directory

Locations

2501 Broadway St
Ste 2
Quincy, IL 62301
Phone (217) 779-6504

632 Maine St
Quincy, IL 62301
Phone (217) 440-9198

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1003261751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S 36TH ST",
            "address_2": "SUITE 3",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015808",
            "telephone_number": "217-779-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S 36TH ST",
            "address_2": "SUITE 3",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015808",
            "telephone_number": "217-779-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "DARYLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-779-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.