Individual provider Active NPI

Thomas B McAulliffe, DC

  • Chiropractor
  • Evans Mills, NY
National Provider Identifier
1063467330
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010867-1 Issued in NY
Practice address
25987 Little Owl CT
Evans Mills, NY 13637-4189
Phone
(607) 760-8432
NPI assigned
May 24, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009253 PA
Chiropractor 111N00000X X010867-1 NY Primary

Addresses

Primary practice location

25987 Little Owl CT
Evans Mills, NY 13637-4189

Mailing address

1116 Arsenal St
Suite 2
Watertown, NY 13601-2528
Phone (315) 782-7166

Other identifiers 1

IdentifierTypeStateIssuer
0018654700006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190619001339 VA Practitioner - Chiropractic 3971586132 Reassigns benefits to 1 organization
I20250604000197 FL Practitioner - Chiropractic 3971586132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmercare Chiropractic Fort Myers LLCGroup PAC ID 1951847219, 2 clinicians

Practice addresses (Care Compare)

9720 Commerce Ctr CT
Suite 1
Fort Myers, FL 33908-3606
Phone (239) 549-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010867-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mill Chiropractic LLC Chiropractor CurrentSince Jan 9, 2019 Accepting new patients
Palmercare Chiropractic Fort Myers LLC Chiropractor CurrentSince Jun 9, 2025 Accepting new patients
McAulliffe Chiropractic, P.C. Chiropractor CurrentSince Jun 20, 2007 Accepting new patients
Barnett Chiropractic PLLC Chiropractor PastSince Sep 30, 2008 Accepting new patients
Southern Tier Dermatology & Aesthetics PastSince Jul 1, 2006 Accepting new patients
Schweiger Dermatology PLLC PastSince Aug 9, 2021 Accepting new patients

Locations

9720 Commerce Center Ct
Ste 1
Fort Myers, FL 33908
Phone (239) 549-6262

1146 Northern Blvd
South Abington Township, PA 18411
Phone (570) 568-7762

1253 Nimmo Pkwy
Ste 110
Virginia Beach, VA 23456
Phone (757) 821-2088

1650 General Booth Blvd
Ste 100A
Virginia Beach, VA 23454
Phone (757) 689-3113

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1063467330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST",
            "address_2": "SUITE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012528",
            "telephone_number": "315-782-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25987 LITTLE OWL CT",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136374189",
            "telephone_number": "607-760-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULLIFFE",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009253",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010867-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018654700006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.