Thomas Charles Roballey, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

894 Issued in CT

Practice address

6515 Main St Ste 8
Trumbull, CT 06611-1388

Phone

(203) 268-0035

Fax

(203) 268-0046

NPI assigned

Oct 2, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285727313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST STE 8",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111388",
            "telephone_number": "203-268-0035",
            "fax_number": "203-268-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST STE 8",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111388",
            "telephone_number": "203-268-0035",
            "fax_number": "203-268-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBALLEY",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CT",
            "license": "894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041-30902",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER I.D.",
            "identifier": "05-0000-894-CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Chiropractor in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Orthopedic Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.