Individual provider Active NPI

Thomas Matthew Bodin, DC

  • Chiropractor
  • Covington, LA
National Provider Identifier
1508695925
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024 Issued in LA
Practice address
1170 N Highway 190 Ste 2
Covington, LA 70433-5952
Phone
(985) 888-6200
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 2024 LA Primary

Addresses

Primary practice location

1170 N Highway 190 Ste 2
Covington, LA 70433-5952

Mailing address

1170 N Highway 190 Ste 2
Covington, LA 70433-5952
Phone (985) 888-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000687 LA Practitioner - Chiropractic 0143759712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limitless Chiropractic, LLCGroup PAC ID 8224379276, 2 clinicians

Practice addresses (Care Compare)

1100 N Causeway Blvd
Suite 100
Mandeville, LA 70471-3439
Phone (985) 888-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Chiropractic, LLC Chiropractor CurrentSince Dec 10, 2024 Accepting new patients

Locations

1170 N Highway 190
Ste 2
Covington, LA 70433
Phone (985) 888-6200

1100 N Causeway Blvd
Ste 100
Mandeville, LA 70471
Phone (985) 789-9592

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508695925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N HIGHWAY 190 STE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335952",
            "telephone_number": "985-888-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N HIGHWAY 190 STE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335952",
            "telephone_number": "985-888-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIN",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.