Philip Mark Divelbiss, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01195 Issued in MD

Practice address

19414 Leitersburg Pike
Suite E
Hagerstown, MD 21742-7601

Phone

(301) 739-2987

Fax

(301) 739-7664

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4348/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104828763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19414 LEITERSBURG PIKE",
            "address_2": "SUITE E",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217427601",
            "telephone_number": "301-739-2987",
            "fax_number": "301-739-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19414 LEITERSBURG PIKE",
            "address_2": "SUITE E",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217427601",
            "telephone_number": "301-739-2987",
            "fax_number": "301-739-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELBISS",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE MD DC",
            "identifier": "T9550001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Disalvo, PT
• Arielle Dismel
• Raeya Disney
• Allen Wilson Ditto, MD
• Andrew Hughes Ditto, MD
• Glenn Divinagracia, PHYSICAL THERAPIST
• Joan Divinagracia
• Divine Hope Healthcare Inc
• Beth Marie Dixon, RDH
• Kymberli Dixon, SPEECH THERAPY

• Chiropractor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.