Organization Active NPI

Thryve Chiropractic & Kinetics PLLC

  • Chiropractor
  • Bartlett, TN
National Provider Identifier
1629829346
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THRYVE CHIROPRACTIC & KINETICS PLLC
Practice address
7603 US Highway 70
Bartlett, TN 38133-2054
Phone
(901) 273-5672
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Dr. Walter Johnson, D.C.NPI 1538707955
Title
Owner
Phone
(901) 273-5672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7603 US Highway 70
Bartlett, TN 38133-2054

Mailing address

7603 US Highway 70
Bartlett, TN 38133-2054
Phone (901) 273-5672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000106 TN Part B Supplier - Clinic/Group Practice 4385084250 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, TN

National Provider Directory

National Provider Directory

Locations

7603 US Highway 70
Bartlett, TN 38133
Phone (901) 273-5672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1629829346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 US HIGHWAY 70",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332054",
            "telephone_number": "901-273-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 US HIGHWAY 70",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332054",
            "telephone_number": "901-273-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRYVE CHIROPRACTIC & KINETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-273-5672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.