John Thomas Reynolds, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009341 Issued in IL

Practice address

630 Terra West Dr
Freeport, IL 61032-4536

Phone

(815) 235-7858

Fax

(815) 235-7913

NPI assigned

Sep 22, 2005

Last updated

Nov 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulsebus and Gehlsen ChiropracticGroup PAC ID 1557324415, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hulsebus and Gehlsen Chiropractic

  • Chiropractor
  • Freeport, IL
  • NPI 1043433162
  Medicare reassignment Care Compare group NPD
• Strelcheck Chiropractic Clinic LTD

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1881791945
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1922094119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TERRA WEST DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324536",
            "telephone_number": "815-235-7858",
            "fax_number": "815-235-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TERRA WEST DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324536",
            "telephone_number": "815-235-7858",
            "fax_number": "815-235-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Residential Alternatives of Illinois Inc (Hawthorne Inn of Freeport)
• Residential Alternatives of Illinois, Inc. (Freeport Rehab and Health Care Center)
• Restore Healthcare LLC
• Amber Retzlaff
• Brian William Reusch
• Amy Riehle, LCSW
• Craig Joseph Riehle, LCSW
• Kate Riker, PHARMD
• Robbin L Klein Counseling Services
• Robert Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.