Active NPI
Thomas Edward Rheinberger, DC
- Chiropractor
- Port St Lucie, FL
National Provider Identifier
1174689970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004249
- Practice address
- 1781 SE Port St Lucie Blvd
Port St Lucie, FL 34952 - Phone
- (772) 335-5174
- Fax
- (772) 335-1908
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004249 | FL | Primary |
Addresses
Primary practice location
1781 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Mailing address
1781 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-5174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0004249 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1174689970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1781 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-335-5174",
"fax_number": "772-335-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-335-5174",
"fax_number": "772-335-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEINBERGER",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.