Organization Active NPI

Thornally Rehab and Wellness, Inc.

  • Rehabilitation Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1043352347
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2770 Issued in CO
Legal business name
THORNALLY REHAB AND WELLNESS, INC.
Practice address
6189 Lehman Dr
Suite 105
Colorado Springs, CO 80918-5407
Phone
(719) 594-4400
Fax
(719) 594-2038
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Craig T Thornally, DCNPI 1982776027
Title
Owner Opperator
Phone
(719) 594-4400

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 2770 CO Primary

Addresses

Primary practice location

6189 Lehman Dr
Suite 105
Colorado Springs, CO 80918-5407

Mailing address

6189 Lehman Dr
Suite 105
Colorado Springs, CO 80918-5407
Phone (719) 594-4400

Other names 1

  • Thornally Chiropractic Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070702000042 CO Part B Supplier - Clinic/Group Practice 6800995960 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

6189 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 290-1441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1043352347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6189 LEHMAN DR",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185407",
            "telephone_number": "719-594-4400",
            "fax_number": "719-594-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6189 LEHMAN DR",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185407",
            "telephone_number": "719-594-4400",
            "fax_number": "719-594-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNALLY REHAB AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "THORNALLY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER OPPERATOR",
        "authorized_official_telephone_number": "719-594-4400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornally Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.