NPIMap

Organization Active NPI

Healing Hands Chiropractic P C

  • Chiropractor
  • Berlin, MD
National Provider Identifier
1508864661
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01994 Issued in MD
Legal business name
HEALING HANDS CHIROPRACTIC P C
Practice address
10776 Grays Corner
Unit 8
Berlin, MD 21811-3561
Phone
(410) 629-0610
Fax
(410) 629-0712
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Tracy Lyn Rush, D.C.NPI 1295817963
Title
President
Phone
(410) 629-0610

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 01994 MD Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 02053 MD

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
O20120112000176 MD Part B Supplier - Clinic/Group Practice 0446427520 Receives reassigned benefits from 2 practitioners
Practice locations: Berlin, MD

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1508864661",
    "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": {
        "organization_name": "HEALING HANDS CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-629-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01994",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02053",
            "primary": false
        }
    ],
    "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 Jul 5, 2023; 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.