Lydian Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

579 Issued in MA

Legal business name

LYDIAN CHIROPRACTIC LLC

Practice address

777 Concord Ave
Suite 301
Cambridge, MA 02138-1056

Phone

(617) 876-9099

Fax

(617) 876-9011

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lydia H Knutson, D.C.

Title

Manager/Owner

Phone

(617) 876-9099

Specialties & licenses 1

Addresses

Other names 1

• Lydian Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole K Andrade, D.C.

  • Chiropractor
  • Gloucester, MA
  • NPI 1548378557
  Medicare reassignment NPD
• Phillip Messineo, DC

  • Chiropractor
  • Cambridge, MA
  • NPI 1407633217
  Medicare reassignment NPD
• M. Cristina Sorrentino Schmalisch, PHD MSW

  • Clinical Social Worker
  • Cambridge, MA
  • NPI 1568640704
  NPD (past)
• Anthony Sposato, MD

  • Internal Medicine Physician
  • Brighton, MA
  • NPI 1225023492
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1467891762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CONCORD AVE",
            "address_2": "SUITE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381056",
            "telephone_number": "617-876-9099",
            "fax_number": "617-876-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CONCORD AVE",
            "address_2": "SUITE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381056",
            "telephone_number": "617-876-9099",
            "fax_number": "617-876-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "617-876-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lydian Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Joel Luz-Alterman, PH.D.
• Lisa Luz, FNP-BC
• Kimberly Sharon Luzzi, D.C.
• LV Mental Health Counseling, LLC
• Steven C Ly
• Heidi E Lyle, CNM
• David Russell Lyman, PHD
• Margaret A Lynch, APRN
• Maureen M. Lynch, MD
• Ellen Lyons-Connors

• Chiropractor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.