Individual provider Active NPI

Anthony M Pirie, D.C.

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1992884670
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009041 Issued in IL
Practice address
1011 Essing Rd
Joliet, IL 60435-2869
Phone
(815) 725-8345
Fax
(815) 725-8310
NPI assigned
Nov 3, 2006
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009041 IL Primary

Addresses

Primary practice location

1011 Essing Rd
Joliet, IL 60435-2869

Mailing address

1011 Essington Rd
Joliet, IL 60435-2869
Phone (815) 725-8345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000595 IL Practitioner - Chiropractic 5991853384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009041ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehabilitation Institute Braidwood LLC Chiropractor CurrentSince Apr 1, 2011 Accepting new patients
Elite Rehabilitaion Institue LLC Chiropractor PastSince Jul 15, 2010 Accepting new patients
Elite Rehab Addison LLC Chiropractor PastSince Apr 16, 2012 Accepting new patients
Gentle Hands Chiropractic, PC Chiropractor PastSince Apr 1, 2011 Accepting new patients

Locations

180 E Main St
Braidwood, IL 60408
Phone (815) 458-2225

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1992884670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352869",
            "telephone_number": "815-725-8345",
            "fax_number": "815-725-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ESSING RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352869",
            "telephone_number": "815-725-8345",
            "fax_number": "815-725-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRIE",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.