NPIMap

Organization Active NPI

Greenbelt Rehab

  • Rehabilitation Chiropractor
  • Greenbelt, MD
National Provider Identifier
1104037852
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S02085-PT Issued in MD
Legal business name
GREENBELT REHAB
Practice address
8713 Greenbelt Rd
Suite 201
Greenbelt, MD 20770-2481
Phone
(301) 474-5505
Fax
(301) 474-5505
NPI assigned
May 24, 2007
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Louis S Crivelli II, D.C., M.S., C.N.S.NPI 1629123666
Title
Clinic Director
Phone
(301) 474-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X S02085-PT MD Primary

Addresses

Primary practice location

8713 Greenbelt Rd
Suite 201
Greenbelt, MD 20770-2481

Mailing address

8713 Greenbelt Rd
Suite 201
Greenbelt, MD 20770-2481
Phone (301) 474-5505

National Provider Directory

National Provider Directory

Locations

8713 Greenbelt Rd
Ste 201
Greenbelt, MD 20770
Phone (301) 474-5505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1104037852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 GREENBELT RD",
            "address_2": "SUITE 201",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702481",
            "telephone_number": "301-474-5505",
            "fax_number": "301-474-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 GREENBELT RD",
            "address_2": "SUITE 201",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702481",
            "telephone_number": "301-474-5505",
            "fax_number": "301-474-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "CRIVELLI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "301-474-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C., M.S., C.N.S."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S02085-PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.