P Praxis·MD
● Active Type 1 · Individual

DR. Rudolph A. Theobald, D.C.

Chiropractor·Fort Worth, TX· NPI 1386729929 · Enumerated 2006 · 19 years on NPI
Theobald is 1 of 15 chiropractor providers in Fort Worth and 1 of 514 in Texas.
NPI age
19 years
Enumerated 2006-10-25
Primary specialty
Chiropractor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 514 active chiropractor providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
6024 Soutwest Blvd
Fort Worth, TX 76109
📞 8176655495fax 8175246194
Mailing address
Po Box 123525
Fort Worth, TX 761213525
📞 8172282896fax 8174234441

Specialties

  • Chiropractor Primary
    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...
    TX license #8869 taxonomy 111NR0400X

Identifiers

TypeValueNotes
01 (TX) 11384841 CAQH
05 (TX) 149696001
01 (TX) 1997117 FIRST HEALTH
01 (TN) 606350 BCBS PAR PLAN
01 (TX) 104065 AMERIGROUP

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new chiropractor provider has been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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