Gabriel Alban Reardon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR.CH.61194549 Issued in WA

Practice address

1717 NE 44TH St Ste G
Renton, WA 98056-9001

Phone

(425) 277-4098

Fax

(425) 277-8239

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Thomas G Reardon DC PSGroup PAC ID 9638250756, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Thomas G Reardon D.C. P.S.

  • Chiropractor
  • Renton, WA
  • NPI 1366591331
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396411625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NE 44TH ST STE G",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980569001",
            "telephone_number": "425-277-4098",
            "fax_number": "425-277-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NE 44TH ST STE G",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980569001",
            "telephone_number": "425-277-4098",
            "fax_number": "425-277-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "GABRIEL",
        "middle_name": "ALBAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.61194549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter Ray, CBT
• Karina L. Ray, MA, LMHC, CDP, CMHS
• Kristen Rayner, LMP
• Reach Behavioral Consulting Inc
• Reach Beyond Counseling and Coaching Services PLLC
• Thomas G Reardon, D.C.
• Amy A Rebmann, PTA
• Reddi Enterprises Inc
• Reddi Enterprises Inc
• Shailaja N.M. Reddy, M.D.

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.