Thomas D Koehler, DC CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005929 Issued in IL

Practice address

232 Main St NW
Suite 201
Bourbonnais, IL 60914-1938

Phone

(815) 939-4900

Fax

(815) 939-4951

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nims Chiropractic LTDGroup PAC ID 4082182613, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nims Chiropractic LTD.

  • Chiropractor
  • Bourbonnais, IL
  • NPI 1316805971
  Medicare reassignment Care Compare group NPD
• Koehler Sports & Spinal Rehab LTD

  • Chiropractor
  • Bourbonnais, IL
  • NPI 1659450815
  NPD Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1215047824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN NW",
            "address_2": "SUITE 201",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141866",
            "telephone_number": "815-939-4900",
            "fax_number": "815-939-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST NW",
            "address_2": "SUITE 201",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141938",
            "telephone_number": "815-939-4900",
            "fax_number": "815-939-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038005929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• You S Kim, MD
• Kinetic O & P, LTD
• Kathleen Kleinert, RD, LDN
• Chad Koch, ATC
• Koehler Sports & Spinal Rehab LTD
• Colin P Koerner, DPT
• Claire Irene Kositzky, OTR/L
• David Eugene Krause, M.D.
• Robert Kring Jr., LCPC
• Kristin Bailey PLLC

• Chiropractor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.