NPIMap

Organization Active NPI

Thorassic Park

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1750814760
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12086 Issued in FL
Legal business name
THORASSIC PARK
Practice address
1603 60TH Ave W
Bradenton, FL 34207-4658
Phone
(941) 727-8739
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Mrs. Marie Lynn O'Meara
Title
Manager
Phone
(941) 758-1402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH12086 FL Primary

Addresses

Primary practice location

1603 60TH Ave W
Bradenton, FL 34207-4658

Mailing address

1603 60TH Ave W
Bradenton, FL 34207-4658
Phone (941) 727-8739

National Provider Directory

National Provider Directory
Tax ID family
Thorassic Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1603 60th Ave W
Bradenton, FL 34207
Phone (941) 727-8739

Practitioners & affiliated clinicians

Practitioners 6

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": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1750814760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 60TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074658",
            "telephone_number": "941-727-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 60TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074658",
            "telephone_number": "941-727-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORASSIC PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "O'MEARA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-758-1402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.