Individual provider Active NPI

Thomas Theodore Rohrick II, DC

  • Chiropractor
  • Scottsbluff, NE
National Provider Identifier
1790869923
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1014 Issued in NE
Practice address
21 E 20TH St
Scottsbluff, NE 69361-2000
Phone
(308) 635-8190
Fax
(308) 635-3226
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1014 NE Primary

Addresses

Primary practice location

21 E 20TH St
Scottsbluff, NE 69361-2000

Mailing address

21 E 20TH St
Scottsbluff, NE 69361-2000
Phone (308) 635-8190

Other identifiers 3

IdentifierTypeStateIssuer
9747OtherNEBCBS
911781578-00MedicaidNE
350043968OtherNERR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081224000330 NE Practitioner - Chiropractic 6406918580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 E 20TH St
Scottsbluff, NE 69361-2000
Phone (308) 635-8190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1014NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas T Rohrick PC Chiropractor CurrentSince Nov 24, 2008 Accepting new patients

Locations

21 E 20th St
Scottsbluff, NE 69361
Phone (308) 635-8190

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1790869923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E 20TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612000",
            "telephone_number": "308-635-8190",
            "fax_number": "308-635-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E 20TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612000",
            "telephone_number": "308-635-8190",
            "fax_number": "308-635-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRICK",
        "first_name": "THOMAS",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9747",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911781578-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350043968",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.