Active NPI
Ronald F Tebo, D.C.
- Rehabilitation Chiropractor
- Webster, MA
National Provider Identifier
1588990782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1973
- Practice address
- 130 Point Breeze Rd
Webster, MA 01570-3633 - Phone
- (774) 272-0936
- NPI assigned
- Oct 22, 2009
- Last updated
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1973 | MA | Primary |
Addresses
Primary practice location
130 Point Breeze Rd
Webster, MA 01570-3633
Mailing address
130 Point Breeze Rd
Webster, MA 01570-3633
Phone (774) 272-0936
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1973 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1588990782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 POINT BREEZE RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015703633",
"telephone_number": "774-272-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 POINT BREEZE RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015703633",
"telephone_number": "774-272-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBO",
"first_name": "RONALD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MA",
"license": "1973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.