Thoracic Park Alternative Health

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001451 Issued in CT

Legal business name

THORACIC PARK ALTERNATIVE HEALTH

Practice address

60 Waterbury Rd
Suite C
Prospect, CT 06712-1250

Phone

(203) 758-7250

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Patavino, D.C.NPI 1386733616

Title

Owner

Phone

(203) 758-7250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas M Patavino, D.C.

  • Chiropractor
  • Prospect, CT
  • NPI 1386733616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1447426630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WATERBURY RD",
            "address_2": "SUITE C",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121250",
            "telephone_number": "203-758-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WATERBURY RD",
            "address_2": "SUITE C",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121250",
            "telephone_number": "203-758-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC PARK ALTERNATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PATAVINO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-758-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Prospect, CT
• Providers in Prospect, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.