Individual provider Active NPI

Theodore F Oslay, DC

  • Occupational Health Chiropractor
  • Marion, IL
National Provider Identifier
1063693794
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
038005491 Issued in IL
Practice address
700 N Carbon St
Suite B
Marion, IL 62959
Phone
(618) 440-4990
NPI assigned
Nov 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 038005491 IL Primary

Addresses

Primary practice location

700 N Carbon St
Suite B
Marion, IL 62959

Mailing address

700 N Carbon St
Suite B
Marion, IL 62959
Phone (618) 440-4990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000432 IL Practitioner - Chiropractic 8426002627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 N Carbon St
Marion, IL 62959-1004
Phone (618) 942-7376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ted Oslay DC PC CurrentSince May 18, 2025 Accepting new patients
Ted Oslay DC PC CurrentSince Dec 1, 2019 Accepting new patients
Oslay Prevention Workshops LLC Occupational Health Past Accepting new patients

Locations

700 N Carbon St
Apt B
Marion, IL 62959
Phone (618) 440-4990

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1063693794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N CARBON ST",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-440-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CARBON ST",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-440-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSLAY",
        "first_name": "THEODORE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-22",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "IL",
            "license": "038005491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.