Individual provider Active NPI

Tracy Lyn Rush, D.C.

  • Chiropractor
  • Berlin, MD
National Provider Identifier
1295817963
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01994 Issued in MD
Practice address
10776 Grays Corner
Unit # 8
Berlin, MD 21811-3561
Phone
(410) 629-0610
Fax
(410) 629-0712
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01994 MD Primary

Addresses

Primary practice location

10776 Grays Corner
Unit # 8
Berlin, MD 21811-3561

Mailing address

10776 Grays Corner
Unit # 8
Berlin, MD 21811-3561
Phone (410) 629-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213001119 MD Practitioner - Chiropractic 8022245208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10776 Gray'S Corner Rd
Suite 8
Berlin, MD 21811-3561
Phone (410) 629-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01994MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Chiropractic P C Chiropractor CurrentSince Feb 19, 2002 Accepting new patients

Locations

10776 Grays Corner Rd
Unit 8
Berlin, MD 21811
Phone (410) 629-0610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1295817963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10776 GRAYS CORNER",
            "address_2": "UNIT # 8",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113561",
            "telephone_number": "410-629-0610",
            "fax_number": "410-629-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10776 GRAYS CORNER",
            "address_2": "UNIT # 8",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113561",
            "telephone_number": "410-629-0610",
            "fax_number": "410-629-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "TRACY",
        "middle_name": "LYN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.