Thea Rose Hofmeister, D.C.
Individual provider Active NPI Chiropractor · Woodbury, TN
NPI 1083687701 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1083687701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2589 (TN)
- Practice address
- 817 W Main St
Woodbury, TN 37190-1032 - Phone
- (615) 563-4443
- Fax
- (615) 563-4550
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
817 W Main St
Woodbury, TN 37190-1032
Phone (615) 563-4443
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190212000489 | TN | Practitioner - Chiropractic | 7113946757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2589 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Peak Performance Health Care, LTD | Chiropractor | Past |
Accepting new patients |
| RR Medical Management | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2589 | TN | Yes |
Addresses
Primary practice location
817 W Main St
Woodbury, TN 37190-1032
Mailing address
524 N University St
Murfreesboro, TN 37130-3012
Phone (615) 904-5181
Other providers in Woodbury, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.