Organization Active NPI

Spine Rehab Nation

  • Chiropractor
  • Timonium, MD
National Provider Identifier
1518702240
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE REHAB NATION
Practice address
1965 Greenspring Dr Ste G9
Timonium, MD 21093-4137
Phone
(410) 449-2529
Fax
(410) 867-3046
NPI assigned
Jun 25, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Dr. Michael E Auer, DCNPI 1891819371
Title
Ceo
Phone
(410) 456-1052

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1965 Greenspring Dr Ste G9
Timonium, MD 21093-4137

Mailing address

3202 Fernwood CT
Baldwin, MD 21013-9543
Phone (410) 456-1052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925000074 MD Part B Supplier - Clinic/Group Practice 7618418021 Receives reassigned benefits from 1 practitioner
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

1965 Greenspring Dr
Ste G9
Timonium, MD 21093
Phone (410) 449-2529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1518702240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 FERNWOOD CT",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139543",
            "telephone_number": "410-456-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 GREENSPRING DR STE G9",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934137",
            "telephone_number": "410-449-2529",
            "fax_number": "410-867-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHAB NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-456-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.