Active NPI
Eric Thibault, DC
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1487058285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 15347
- Practice address
- 1 Healthy Way
Houston, TX 77046 - Phone
- (281) 916-7300
- NPI assigned
- Oct 22, 2014
- Last updated
- Aug 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 4545 | OH | |
| Rehabilitation Chiropractor | 111NR0400X | 2301010832 | MI | |
| Rehabilitation Chiropractor | 111NR0400X | 15347 | TX | Primary |
Addresses
Primary practice location
1 Healthy Way
Houston, TX 77046
Mailing address
672 Greenhills Dr
Ann Arbor, MI 48105-2717
Phone (620) 560-3949
Other practice location 1
660 Woodward Ave Ste 2430
Detroit, MI 48226-3502
Phone (313) 457-9355
Other practice location 2
7257 Center St
Mentor, OH 44060-4907
Phone (440) 205-9910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010832 | MI | MD | Rehabilitation Chiropractor |
| 4545 | OH | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac PT Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1487058285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 GREENHILLS DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052717",
"telephone_number": "620-560-3949",
"fax_number": "313-447-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77046",
"telephone_number": "281-916-7300"
}
],
"practiceLocations": [
{
"address_1": "660 Woodward Ave Ste 2430",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482263502",
"country_code": "US",
"telephone_number": "313-457-9355",
"fax_number": "313-447-2444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7257 Center St",
"address_purpose": "LOCATION",
"city": "Mentor",
"state": "OH",
"postal_code": "440604907",
"country_code": "US",
"telephone_number": "440-205-9910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIBAULT",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2023-08-25",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OH",
"license": "4545",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MI",
"license": "2301010832",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "15347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Thi of Texas at Winterhaven, LLC (Winterhaven Healthcare Center)
- Thi Thi Nguyen DDS PA (Best Dental Center)
- Kennedy Thiagarajan, M.D.
- Perumal Thiagarajan, MD
- Eva Marie Thibaudeau Graczyk, LCSW-S
- Claudia Irene Thibeault
- Kenyon T Thibeaux, MA, LPC, LCDCI
- Lawrence Thibeaux
- Melanie Thibodeaux-Bibb, DDS
- Nakia Thibodeaux-Foster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.