DR. JOHN THOMAS REYNOLDS (NPI# 1922094119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094119 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS REYNOLDS |
| Credential | D.C. |
| Practice Address |
630 Terra West Dr Freeport IL 61032-4536 |
| Practice Telephone | 8152357858 |
| Practice Fax Number | 8152357913 |
| Mailing Telephone | 8152357858 |
| Mailing Fax Number | 8152357913 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009341 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | FIRST HEALTH | 2017038 | 01 |
| IL | AETNA - HMO | 3474535 | 01 |
| IL | BC/BS | 004932381 | 01 |
| IL | AETNA - PPO | 7531336 | 01 |
| IL | CIGNA | 5979340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1871991471 | John Reynolds | Substance Abuse Rehabilitation Facility | 27273 Fm 2090 Rd, Splendora, TX 77372-4632 | 2014-12-12 |
| 1316236441 | John Harold Reynolds | Orthotist | 400 Erin Dr, Knoxville, TN 37919-6205 | 2011-03-29 |
| 1447557442 | John Brently Reynolds II | Counselor | 14 Cottage Park Ave, Cambridge, MA 02140-1606 | 2011-02-28 |
| 1578868139 | John Devaux Reynolds | Naturopath | 4511 Se Hawthorne Blvd Ste 208, Portland, OR 97215 | 2011-01-12 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1487837688 | John A Reynolds | Dentist | 1214 Murfreesboro Rd, Suite 210, Franklin, TN 37064-1302 | 2007-12-11 |
| 1982739157 | John William Reynolds | Dentist | 5939b Gateway Blvd W, El Paso, TX 79925-3301 | 2007-02-21 |
| 1942359641 | John Hall Reynolds | Optometrist | 28 Flint Dr, North East, MD 21901-3746 | 2007-01-10 |
| 1538177043 | John C.g. Reynolds | Dentist | 2826 Broadway Ste 100, Riviera Beach, FL 33404-2308 | 2006-08-03 |
| Street Address |
630 TERRA WEST DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365115 | Jordan William Pontius | Chiropractor | 630 Terra West Dr, Freeport, IL 61032 | 2018-02-09 |
| 1043433162 | Hulsebus and Gehlsen Chiropractic | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2007-04-10 |
| 1932240769 | Gregory L Overlander | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2007-02-12 |
| 1952317869 | Roger D Hulsebus | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2006-07-31 |
| 1750397667 | Jeffrey P Gehlsen | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2006-07-31 |
| 1922014844 | Debra A Welser | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2006-07-31 |
| 1215986021 | Jacob Dale Wookey | Chiropractor | 630 Terra West Dr, Freeport, IL 61032-4536 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1407364755 | Morgan Lightsey-santos | Chiropractor | 17287 Us Highway 331 S, Freeport, FL 32439-4206 | 2018-01-19 |
| 1689804361 | Robert M Fair | Chiropractor | 506 High St, Freeport, PA 16229-1222 | 2009-07-16 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1952546707 | Schram Chiropractic Clinic PC | Chiropractor | 1009 Loras Drive, Freeport, IL 61032-6923 | 2008-12-09 |
| 1063692630 | Momentum Chiropractic, PC | Chiropractor | 24 W Merrick Rd, Freeport, NY 11520-3827 | 2007-11-12 |
| 1922139286 | Gregg F Brady | Chiropractor | 144 Kissick Ln, Freeport, PA 16229-1909 | 2007-03-08 |
| 1467592212 | Merritt Lowe Armstrong | Chiropractor | 30 Bow St, Freeport, ME 04032-1517 | 2007-02-08 |
| 1932260387 | Steven R Grunewald | Chiropractor | 1630 S Galena Ave, Ste A, Freeport, IL 61032-2518 | 2006-12-12 |
| 1205994605 | Jeremy Edwin Ronge | Chiropractor | 996 Freeport Rd, Freeport, PA 16229 | 2006-12-05 |
| Find all providers in FREEPORT | ||||
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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.