Individual provider Active NPI

Lisa Ortiz

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1366471740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01856 Issued in MD
Practice address
9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710
Phone
(301) 620-8566
Fax
(301) 620-8568
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01856 MD Primary

Addresses

Primary practice location

9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710

Mailing address

9093 Ridgefield Dr
Ste 107
Frederick, MD 21701-6710
Phone (301) 620-8566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000103 MD Practitioner - Chiropractic 2668479064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Ridge Chiropractic of Boonsboro LLCGroup PAC ID 8426433517, 2 clinicians
Spring Ridge Chiropractic LLCGroup PAC ID 9436307501, 2 clinicians

Practice addresses (Care Compare)

20311 Lappans Rd
Unit 102
Boonsboro, MD 21713-2086
Phone (301) 620-8566

9093 Ridgefield Dr
Frederick, MD 21701-6711
Phone (301) 620-8566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S01856MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Ridge Chiropractic of Boonsboro LLC Chiropractor CurrentSince Oct 25, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20311 Lappans Rd
Ste 102
Boonsboro, MD 21713
Phone (301) 620-8566

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366471740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "STE 107",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-620-8566",
            "fax_number": "301-620-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "STE 107",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-620-8566",
            "fax_number": "301-620-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.