NPIMap

Organization Active NPI

Maryland Spine Rehab, LLC

  • Chiropractor
  • Dundalk, MD
National Provider Identifier
1629251830
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARYLAND SPINE REHAB, LLC
Practice address
1515 Merritt Blvd
Dundalk, MD 21222-2113
Phone
(410) 285-0920
NPI assigned
Dec 11, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Louis S Crivelli II, D.C., M.S., C.N.S.
Title
Owner
Phone
(301) 652-7717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Nutrition Chiropractor 111NN1001X

Addresses

Primary practice location

1515 Merritt Blvd
Dundalk, MD 21222-2113

Mailing address

PO Box 745854
Atlanta, GA 30374-5854
Phone (410) 970-8190

Other practice location 1

7106 Ridge Rd Ste 150
Rosedale, MD 21237-3875
Phone (410) 238-3033

Other practice location 2

7021 Martin Luther King Jr Hwy
Landover, MD 20785-4016
Phone (301) 341-4600

Other practice location 3

809 N Charles St Ste 201
Baltimore, MD 21201-5307
Phone (410) 837-4171

Other practice location 4

10215 Fernwood Rd Ste 630
Bethesda, MD 20817-1184
Phone (312) 498-7934

National Provider Directory

National Provider Directory

Locations

7021 Martin Luther King Jr Hwy
Landover, MD 20785
Phone (301) 341-4600

7106 Ridge Rd
Ste 150
Rosedale, MD 21237
Phone (410) 238-3030

Practitioners & affiliated clinicians

Practitioners 11

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1629251830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745854",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745854",
            "telephone_number": "410-970-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222113",
            "telephone_number": "410-285-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Ridge Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373875",
            "country_code": "US",
            "telephone_number": "410-238-3033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Martin Luther King Jr Hwy",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207854016",
            "country_code": "US",
            "telephone_number": "301-341-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Charles St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015307",
            "country_code": "US",
            "telephone_number": "410-837-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10215 Fernwood Rd Ste 630",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171184",
            "country_code": "US",
            "telephone_number": "312-498-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND SPINE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "CRIVELLI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-652-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C., M.S., C.N.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.