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MRS. TARA H THEISEN D.C.
NPI 1356302756
Chiropractor in Freeport, IL

Active since March 28, 2006
1019 W GALENA AVE, FREEPORT, IL 61032(815) 232-2225(815) 233-2571 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Tara H Theisen D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TARA H THEISEN D.C. (NPI 1356302756) is an individual chiropractor in Freeport, Illinois, licensed in Illinois (038-008632) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1356302756
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMRS. TARA H THEISENCredential: D.C.
Location Address1019 W GALENA AVEFreeport, IL 61032-3819
Mailing Address1019 W Galena AveFreeport, IL 61032-3819 · (815) 232-2225 · Fax (815) 233-2571
Phone(815) 232-2225
Fax(815) 233-2571
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 7, 2015
✔ NPI 1356302756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-008632
Definition
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.
1019 W GALENA AVE, Freeport, IL 61032
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Other Identifiers 2

Medicare UPINU75603IL
Medicare PIN210083IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tara H Theisen D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tara Theisen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David Low Back Center Dc
Same address
Chiropractor
1019 W GALENA AVE
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1346376241 (815) 232-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID LOW BACK CENTER DC
Chiropractor
1019 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 232-2225
MR. JORDAN MICHAEL MEYER D.C.
Chiropractor
1019 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 232-2225
DR. PAUL M THEISEN D.C.
Chiropractor
1019 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 232-2225
DAVID LOW BACK CENTER DC
Massage Therapist
1019 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 232-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Theisen's NPI number?

The NPI number for Tara Theisen is 1356302756. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Tara Theisen located?

Tara Theisen practices at 1019 W Galena Ave, Freeport, IL 61032. The listed phone number is (815) 232-2225.

What is Tara Theisen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tara Theisen enrolled in Medicare?

Yes. Tara Theisen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Theisen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Theisen reassigns Medicare benefits to David Low Back Center Dc (Freeport, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Theisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Theisen was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.