Thea C Flock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.008004 Issued in IL

Practice address

4505 N Illinois St
Suite 1
Swansea, IL 62226-1500

Phone

(618) 641-9595

Fax

(618) 300-3736

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empower Physical Therapy, S.C.

  • Physical Therapist
  • Romeoville, IL
  • NPI 1154652402
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1700930559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 N ILLINOIS ST",
            "address_2": "SUITE 1",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261500",
            "telephone_number": "618-641-9595",
            "fax_number": "618-300-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 N ILLINOIS ST",
            "address_2": "SUITE 1",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261500",
            "telephone_number": "618-641-9595",
            "fax_number": "618-300-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOCK",
        "first_name": "THEA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.008004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "09932027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Fischer
• Kelly Jean Fitzgerald, LPC
• Flair Innovative Servives LLC
• Thomas Nicholas Fleming, M.D.
• Travis Fleming, D.C.
• Amy Forbeck
• Audrey Geneva Ford
• Kiesha Ford, MA, LPC
• Fortitude Trails Counseling
• Lisa M Fox, LCSW

• Chiropractor in Swansea, IL
• Providers in Swansea, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.