T Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012894 Issued in IL

Legal business name

T CHIROPRACTIC, LLC

Practice address

7800 N Sommer St
Ste 203
Peoria, IL 61615-1934

Phone

(309) 691-9767

Fax

(309) 691-9457

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tige Andrew Travis, DC

Title

Owner

Phone

(309) 691-9767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1003356866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N SOMMER ST",
            "address_2": "STE 203",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151934",
            "telephone_number": "309-691-9767",
            "fax_number": "309-691-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N SOMMER ST",
            "address_2": "STE 203",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151934",
            "telephone_number": "309-691-9767",
            "fax_number": "309-691-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "TIGE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-691-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.