Kelli Jo Thesier, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011-059 Issued in NY

Practice address

20284 County Route 45
Carthage, NY 13619-9502

Phone

(315) 778-3054

NPI assigned

Apr 2, 2007

Sex

Female

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

Other names 1

• Dr. Kelli Jo Guyette Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Teresa M Bach Carthage Family Chiroprac

  • Chiropractor
  • Carthage, NY
  • NPI 1104910967
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1265553192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20284 COUNTY ROUTE 45",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199502",
            "telephone_number": "315-778-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20284 COUNTY ROUTE 45",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199502",
            "telephone_number": "315-778-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THESIER",
        "first_name": "KELLI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011-059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN COMP-NO FAULT",
            "identifier": "C11059-5W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "GUYETTE",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Sullivan, M.D.
• Surgicalist of New York PC
• Janel Swanson
• Teresa M Bach Carthage Family Chiroprac
• Amanda Mae Terrillion
• Prabhjot Singh Thind, MD
• Tammy Thomas, LPN
• Tasha Olivia Thomas, CNM
• Jamaica Mariae Del Rosario Tobias, DNP, AGACNP, FNP
• Rebecca Lynn Toomey-Keck, MSED, RD, CDN, CNSC

• Chiropractor in Carthage, NY
• Providers in Carthage, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.