NPIMap

Organization Active NPI

Peak Potential Chiropractic and Physical Therapy

  • Chiropractor
  • Severna Park, MD
National Provider Identifier
1184470825
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK POTENTIAL CHIROPRACTIC AND PHYSICAL THERAPY
Practice address
650 Ritchie Hwy Ste 106
Severna Park, MD 21146-3910
Phone
(410) 421-5544
Fax
(410) 421-5549
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Patricia Mikela Beall, DCNPI 1750687141
Title
Owner/Chiropractor
Phone
(607) 280-0245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

650 Ritchie Hwy Ste 106
Severna Park, MD 21146-3910

Mailing address

334 Locust Thorn CT
Millersville, MD 21108-1858
Phone (607) 280-0245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122001998 MD Part B Supplier - Clinic/Group Practice 9032644398 Receives reassigned benefits from 2 practitioners
Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory

Locations

650 Ritchie Hwy
Ste 106
Severna Park, MD 21146
Phone (410) 421-5544

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1184470825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LOCUST THORN CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081858",
            "telephone_number": "607-280-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY STE 106",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463910",
            "telephone_number": "410-421-5544",
            "fax_number": "410-421-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MIKELA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "607-280-0245",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.