DR. RUDOLPH A. THEOBALD (NPI# 1386729929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386729929 |
| Entity Type | Individual |
| Full Name | DR. RUDOLPH A. THEOBALD |
| Credential | D.C. |
| Practice Address |
6431 Soutwest Blvd Fort Worth TX 76132-5606 |
| Mailing Address |
Po Box 123525 Fort Worth TX 76121-3525 |
| Practice Telephone | 8177389777 |
| Practice Fax Number | 8177389779 |
| Mailing Telephone | 8172282896 |
| Mailing Fax Number | 8174234441 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
8869 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS PAR PLAN | 606350 | 01 |
| TX | AMERIGROUP | 104065 | 01 |
| TX | CAQH | 11384841 | 01 |
| TX | FIRST HEALTH | 1997117 | 01 |
| TX | 149696001 | 05 |
| Street Address |
6431 SOUTWEST BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386960490 | Best Choice Chiropractic and Wellness Center | Chiropractor | 2512 Oakland Blvd Ste 12, Fort Worth, TX 76103-3238 | 2010-04-14 |
| 1982881587 | Melva Denise Mitchell | Chiropractor | 2521 Oakland Blvd, 106, Fort Worth, TX 76103-3292 | 2008-01-25 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1275653180 | Fort Worth Injury Rehabilitation Clinic | Chiropractor | 101 W Allen Ave, Fort Worth, TX 76110-1608 | 2007-04-02 |
| 1427407741 | Todd Tyo Jr. | Chiropractor | 1301 N Beach St, Fort Worth, TX 76111-6613 | 2016-06-07 |
| 1760503023 | Dfw Workers Rehab, Inc. | Chiropractor | 707 N Riverside Dr, Fort Worth, TX 76111-4247 | 2007-04-03 |
| 1093848574 | New Help Clinics, Pa | Chiropractor | 5601 Bridge St, Ste. 550, Fort Worth, TX 76112-2384 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704766 | Texas Spine and Sports Institute Pllc | Chiropractor | 811 Central Dr, Odessa, TX 79761-4201 | 2020-09-08 |
| 1326658691 | Better Life Medical | Chiropractor | 16316 Fm 529 Rd Ste B, Houston, TX 77095-1465 | 2020-08-03 |
| 1427603695 | Andrea Aguirre | Chiropractor | 2410 Ella Blvd Ste C, Houston, TX 77008-2721 | 2019-08-05 |
| 1346802220 | Kelsy Morgan Demelo | Chiropractor | 2210 W Dallas St Apt 1034, Houston, TX 77019-4354 | 2019-07-01 |
| 1538626304 | Port Arthur Chiropractic | Chiropractor | 1907 Jefferson Dr Ste 350, Port Arthur, TX 77642-2174 | 2019-02-27 |
| 1144785130 | Jason Michael Evans | Chiropractor | 997 Raintree Cir Ste 170, Allen, TX 75013-4955 | 2019-02-05 |
| 1699248419 | 101 R LLC | Chiropractor | 9000 Southwest Fwy Ste 204, Houston, TX 77074-1520 | 2019-01-03 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| 1053825935 | Beaumont Recovery and Consulting, Inc. | Chiropractor | 3302 Mcfaddin St Ste 3, Beaumont, TX 77706-5038 | 2017-11-29 |
| 1942719604 | Bruce Wayne Duncan | Chiropractor | 815 E Rector St # 105a, San Antonio, TX 78216-5931 | 2017-09-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.