Life Chiropractic of Olney, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S03726 Issued in MD

Legal business name

LIFE CHIROPRACTIC OF OLNEY, LLC

Practice address

18120 Hillcrest Ave Ste D
Olney, MD 20832-1444

Phone

(301) 924-6444

Fax

(301) 924-6444

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Rosanna L Streams

Title

Office Manager

Phone

(301) 924-6444

Specialties & licenses 1

Addresses

Other names 1

• Life Chiropractic Clinic of Olney, Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

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

• Robert L McClure, D.C.

  • Chiropractor
  • Dale City, VA
  • NPI 1902963366

  DC, Rehabilitation

  Medicare reassignment NPD
• April June Lee, D.C.

  • Chiropractor
  • Solomons, MD
  • NPI 1598004913

  DC

  Medicare reassignment
• Philip Romano, D.C.

  • Chiropractor
  • Olney, MD
  • NPI 1467506113
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1811408339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 HILLCREST AVE STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321444",
            "telephone_number": "301-924-6444",
            "fax_number": "301-774-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 HILLCREST AVE STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321444",
            "telephone_number": "301-924-6444",
            "fax_number": "301-924-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC OF OLNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "STREAMS",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-924-6444"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Chiropractic Clinic of Olney,",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Randy Levin, M.D.
• Eric D Levine, D.D.S.
• Ranell Lewis
• Lauren Lieb
• Life Chiropractic of Olney
• Lifespan Behavioral Health Services PC
• Lifespan Behavioral Health Services PC
• Sorina Moniroth Lim, DDS
• Mao Lin, D.D.S.
• Qingting Lin

• Rehabilitation Chiropractor in Olney, MD
• Providers in Olney, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.