Healthcare Provider Details

I. General information

NPI: 1285590695
Provider Name (Legal Business Name): THOMAS CHAPUT JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 SE 14TH AVE
OCALA FL
34471-5464
US

IV. Provider business mailing address

1916 SE 14TH AVE
OCALA FL
34471-5464
US

V. Phone/Fax

Practice location:
  • Phone: 352-792-4136
  • Fax: 352-792-4136
Mailing address:
  • Phone: 352-792-4136
  • Fax: 352-792-4136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: