Individual provider Active NPI

Thor Jason Schaefer, DC

  • Chiropractor
  • Fort Walton Beach, FL
National Provider Identifier
1447082284
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15056 Issued in FL
Practice address
119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone
(850) 862-4313
Fax
(850) 863-1765
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15056 FL Primary

Addresses

Primary practice location

119 Truxton Ave
Fort Walton Beach, FL 32547-2460

Mailing address

119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone (850) 862-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924004742 FL Practitioner - Chiropractic 2668913179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Frisbee Family Chiropractic PAGroup PAC ID 1658784863, 4 clinicians

Practice addresses (Care Compare)

119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone (850) 862-4313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Frisbee Family Chiropractic PA Chiropractor CurrentSince Aug 11, 2024 Accepting new patients

Locations

119 Truxton Ave
Ft Walton Bch, FL 32547
Phone (850) 305-6006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1447082284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "THOR",
        "middle_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.