NPIMap

Organization Active NPI

Living Health Integrative Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Annapolis, MD
National Provider Identifier
1184963217
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D14399 Issued in MD
Legal business name
LIVING HEALTH INTEGRATIVE MEDICINE LLC
Practice address
1833 Forest Dr
Ste a
Annapolis, MD 21401-4580
Phone
(410) 216-9180
Fax
(410) 216-9669
NPI assigned
Feb 9, 2013
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Thomas Andrew Chaney, DCNPI 1598838039
Title
Owner/Ceo
Phone
(410) 216-9180

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
Physical Medicine & Rehabilitation Physician 208100000X D14399 MD Primary

Addresses

Primary practice location

1833 Forest Dr
Ste a
Annapolis, MD 21401-4580

Mailing address

1833 Forest Dr
Ste a
Annapolis, MD 21401-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130522000010 MD Part B Supplier - Clinic/Group Practice 7517105182 Receives reassigned benefits from 11 practitioners
Practice locations: Annapolis, MD
O20150205000832 MD DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7517105182 Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1184963217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR",
            "address_2": "STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR",
            "address_2": "STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180",
            "fax_number": "410-216-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTH INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-216-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D14399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.