Active NPI
Tracy Lyn Rush, D.C.
- Chiropractor
- Berlin, MD
National Provider Identifier
1295817963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01994 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Chiropractic P C | Chiropractor | Current | 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.
-
- Chiropractor
- Berlin, MD
- NPI 1508864661
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.