NPIMap

Organization Active NPI

Chesapeake Integrative Health Solutions LLC

  • Specialist
  • Prince Frederick, MD
National Provider Identifier
1457088122
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHESAPEAKE INTEGRATIVE HEALTH SOLUTIONS LLC
Practice address
65 Duke St Ste 107
Prince Frederick, MD 20678-6128
Phone
(443) 532-8331
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Erika Kaine Bottalico, RDHNPI 1659008316
Title
RDH, Omt
Phone
(443) 532-8331

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

65 Duke St Ste 107
Prince Frederick, MD 20678-6128

Mailing address

134 Calvert Towne Rd
Prince Frederick, MD 20678-4100
Phone (443) 532-8331

Other practice location 1

134 Calvert Towne Rd
Prince Frederick, MD 20678-4100
Phone (443) 532-8331

Other names 1

  • Chesapeake Myofunctional Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1457088122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CALVERT TOWNE RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784100",
            "telephone_number": "443-532-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST STE 107",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "443-532-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Calvert Towne Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784100",
            "country_code": "US",
            "telephone_number": "443-532-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE INTEGRATIVE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "BOTTALICO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "KAINE",
        "authorized_official_title_or_position": "RDH, OMT",
        "authorized_official_telephone_number": "443-532-8331",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Myofunctional Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.