Individual provider Active NPI

Eric Thibault, DC

  • Rehabilitation Chiropractor
  • Houston, TX
National Provider Identifier
1487058285
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
15347 Issued in TX
Practice address
1 Healthy Way
Houston, TX 77046
Phone
(281) 916-7300
NPI assigned
Oct 22, 2014
Sex
Male
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
2301010832MIMDRehabilitation Chiropractor
4545OHMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ac PT Inc PastSince Jul 16, 2021 Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4545 OH
Rehabilitation Chiropractor 111NR0400X 2301010832 MI
Rehabilitation Chiropractor 111NR0400X 15347 TX Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2023.

{
    "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

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.

Verify at the official NPI Registry.