Organization Active NPI

National Chiropractic &Sports Rehabilitation

  • Chiropractor
  • Ellicott City, MD
National Provider Identifier
1649900507
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NATIONAL CHIROPRACTIC &SPORTS REHABILITATION
Practice address
9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337
Phone
(443) 605-2214
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Felicia Leipold, DC, ATCNPI 1972274629
Title
Owner/Chiropractor
Phone
(410) 531-8000

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337

Mailing address

9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337
Phone (410) 531-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706002554 MD Part B Supplier - Clinic/Group Practice 6507246733 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1649900507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 301",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "410-531-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 301",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-605-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CHIROPRACTIC &SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LEIPOLD",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "410-531-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.