Active NPI
Alyssa B Hirschman, DC, LMT
- Rehabilitation Chiropractor
- Rockville, MD
National Provider Identifier
1184213290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- S04076
- Practice address
- 404 King Farm Blvd Ste 140
Rockville, MD 20850-6100 - Phone
- (240) 242-9598
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M04875 | MD | |
| Rehabilitation Chiropractor | 111NR0400X | S04076 | MD | Primary |
Addresses
Primary practice location
404 King Farm Blvd Ste 140
Rockville, MD 20850-6100
Mailing address
14 Apricot CT
North Potomac, MD 20878-2326
Phone (301) 395-5114
Other practice location 1
14 Apricot Ct
North Potomac, MD 20878-2326
Phone (301) 395-5114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M04875 | Other | MD | MASSAGE THERAPY |
| S04076 | Other | MD | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230630003057 | DC | Practitioner - Chiropractic | 9436518974 | Practice locations: Rockville, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S04076 | MD | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1184213290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 APRICOT CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782326",
"telephone_number": "301-395-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 KING FARM BLVD STE 140",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506100",
"telephone_number": "240-242-9598"
}
],
"practiceLocations": [
{
"address_1": "14 Apricot Ct",
"address_purpose": "LOCATION",
"city": "North Potomac",
"state": "MD",
"postal_code": "208782326",
"country_code": "US",
"telephone_number": "301-395-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSCHMAN",
"first_name": "ALYSSA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04875",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MD",
"license": "S04076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "M04875",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "S04076",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.