Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114952629 Individual Practitioner Male Practitioner

Dr. Peter Thibodeau , DC

Chiropractor - Neurology • Soquel, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Thibodeau, DC is a registered healthcare professional specializing in Chiropractor - Neurology in Soquel, CA. Practice services are available at 3121 PARK AVE under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3121 Park Ave
B

Soquel, CA 950732920

Telephone 8314622727
Associated Practice Facility / Clinic
🏢 Qualium Corp Facility NPI 1710237920

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor - Neurology in Soquel, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Soquel, CA (114 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
32 11 $40.00 $39.89

Medical Specialties & State Licenses

Chiropractor - Neurology Primary Specialty

NUCC Taxonomy Code: 111NN0400X

State License CA DC10123

Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Randolph Brock , PsyD

Psychologist - Psychoanalysis

NPI 1134552425

Doctor of Psychology (Psy.D.)

Anne Howard , MPT

Physical Therapist

NPI 1194708040

Master of Physical Therapy

Aneita Radov , MA, LMFT, CEAP

Marriage & Family Therapist

NPI 1235163411

Master of Arts, Licensed Marriage and Family Therapist, CEAP

Lisa Lin , LAC

Acupuncturist

NPI 1548395692

Licensed Acupuncturist

Debra Houston , LMFT

Marriage & Family Therapist

NPI 1629494521

Licensed Marriage and Family Therapist

NPI 1679937924

BAMSMD(AYUINDIA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3121 PARK AVE, B, SOQUEL, CA 950732920 (Tel: 8314622727)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3121 PARK AVE, B, SOQUEL, CA 950732920 (Tel: 8314622727)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER THIBODEAU, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC10123 in CA)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114952629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3121 Park Ave, B

Soquel, CA 950732920

Phone: 8314622727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.