Active NPI
Ellen R Thomas, D.C.
- Sports Physician Chiropractor
- Moorestown, NJ
National Provider Identifier
1861447476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00249200
- Practice address
- 1221 N Church St
Suite 203
Moorestown, NJ 08057-1245 - Phone
- (843) 368-4252
- Fax
- (856) 608-8851
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00249200 | NJ | Primary |
Addresses
Primary practice location
1221 N Church St
Suite 203
Moorestown, NJ 08057-1245
Mailing address
26 Woodside LN
Cinnaminson, NJ 08077-2462
Phone (843) 368-4252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131114000282 | NJ | Practitioner - Chiropractic | 4587558747 | Practice locations: Moorestown, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
704 E Main St
Suite B
Moorestown, NJ 08057-3070
Phone (856) 242-9706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00249200 | NJ | MD | Sports Physician Chiropractor |
| 2827 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Spine LLC | Past | Accepting new patients | |
| Thomas Fittness Associates LLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Ridgeland, SC
- NPI 1528258183
-
- Chiropractor
- Indian Land, SC
- NPI 1871854380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1861447476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 WOODSIDE LN",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772462",
"telephone_number": "843-368-4252",
"fax_number": "856-608-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N CHURCH ST",
"address_2": "SUITE 203",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080571245",
"telephone_number": "843-368-4252",
"fax_number": "856-608-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ELLEN",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00249200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.