Individual provider Active NPI

Tara Thomforde, DC

  • Chiropractor
  • Washington, PA
National Provider Identifier
1720195019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009413 Issued in PA
Practice address
1825 Washington Rd
Suite B
Washington, PA 15301-8932
Phone
(724) 746-6840
Fax
(724) 746-6870
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009413 PA Primary

Addresses

Primary practice location

1825 Washington Rd
Suite B
Washington, PA 15301-8932

Mailing address

1825 Washington Rd
Suite B
Washington, PA 15301-8932
Phone (724) 746-6840

Other identifiers 1

IdentifierTypeStateIssuer
1807958OtherPABLUES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060503000639 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 0042227837 Reassigns benefits to 1 organization
I20090226000473 WV Practitioner - Chiropractic 0042227837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1825 Washington Rd B
Washington, PA 15301-8932
Phone (724) 746-6840

920 Charles St
Wellsburg, WV 26070-1671
Phone (304) 737-7234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Family Chiropractic LLC Chiropractor CurrentSince Jan 16, 2006 Accepting new patients

Locations

1825 Washington Rd
Washington, PA 15301
Phone (724) 746-6840

1825 Washington Rd
Ste B
Washington, PA 15301
Phone (724) 746-6840

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720195019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WASHINGTON RD",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018932",
            "telephone_number": "724-746-6840",
            "fax_number": "724-746-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WASHINGTON RD",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018932",
            "telephone_number": "724-746-6840",
            "fax_number": "724-746-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMFORDE",
        "first_name": "TARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "1807958",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.