Justin Ronald Tremblay, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001695 Issued in CT

Practice address

10 Pendleton Dr
Hebron, CT 06248-1525

Phone

(860) 228-1441

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Spine and Rehab LLCGroup PAC ID 0749229516, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Spine & Rehab LLC

  • Physical Therapist
  • Enfield, CT
  • NPI 1467667923

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Hebron Chiropractic Center LLC

  • Chiropractor
  • Hebron, CT
  • NPI 1184801797
  Authorized official Same address or phone
• Primary Physical Medicine LLC

  • Family Nurse Practitioner
  • Enfield, CT
  • NPI 1487190013
  NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1649465998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PENDLETON DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481525",
            "telephone_number": "860-228-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PENDLETON DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481525",
            "telephone_number": "860-228-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "JUSTIN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tao Center for Vitality Longevity & Optimal Health LLC
• Jennifer L Taylor, A.P.R.N.
• The Healing Tree, LLC
• Town of Hebron
• Jamie Trahan
• Julia Waldron
• Allegra Weir
• Wild Apple Eye III LLC
• Beverly Fern Williams, LMT
• Within Your Sight, LLC

• Chiropractor in Hebron, CT
• Providers in Hebron, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.