Active NPI
Thomas B McAulliffe, DC
- Chiropractor
- Evans Mills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010867-1
- Practice address
- 25987 Little Owl CT
Evans Mills, NY 13637-4189 - Phone
- (607) 760-8432
- NPI assigned
- May 24, 2006
- Last updated
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018654700006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| X010867-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Mill Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Palmercare Chiropractic Fort Myers LLC | Chiropractor | Current | Accepting new patients |
| McAulliffe Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| Barnett Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Southern Tier Dermatology & Aesthetics | Past | Accepting new patients | |
| Schweiger Dermatology PLLC | Past | 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.
-
- Chiropractor
- Fort Myers, FL
- NPI 1487336665
-
dba Commonwealth Chiropractic and Physical Therapy
- Chiropractor
- Virginia Beach, VA
- NPI 1457725376
-
dba ProActive Family Chiropractic
- Chiropractor
- Dalton, PA
- NPI 1881728160
-
- Chiropractor
- Endwell, NY
- NPI 1063690162
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
- Dermatology Physician
- Endwell, NY
- NPI 1275589558
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.