Pine Heights Integrative Health, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PINE HEIGHTS INTEGRATIVE HEALTH, LLC

Practice address

1001 Pine Heights Ave Ste 304
Baltimore, MD 21229-5285

Phone

(240) 614-6369

Fax

(301) 476-0418

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Phyllis Blackwell

Title

Office Manager

Phone

(301) 575-6549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

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

• Elliott Poehlman, DC

  • Chiropractor
  • Baltimore, MD
  • NPI 1003388372
  Medicare reassignment Care Compare group NPD
• John Peter Rosa, DC

  • Chiropractor
  • Rockville, MD
  • NPI 1356493027
  Medicare reassignment Care Compare group NPD
• Peter Rosa, DC

  • Chiropractor
  • Baltimore, MD
  • NPI 1205590262
  Medicare reassignment NPD
• Maria H Leone, DC

  • Chiropractor
  • Bel Air, MD
  • NPI 1972185189
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1861085607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W GUDE DR STE 375",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504300",
            "telephone_number": "240-614-6369",
            "fax_number": "301-545-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 304",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295285",
            "telephone_number": "240-614-6369",
            "fax_number": "301-476-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HEIGHTS INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-575-6549"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Pinault
• Harold J. Pincus, DDS
• Kathleen Pincus, PHARM.D.
• Joel Pinczewski, MD, PHD
• Jack Thomas Pinder, LCSW-C
• Abigail E Pine, PHD
• Elyse Dara Pine, M.D.
• Jennifer Diane Pineault, PHARMD
• Elizabeth Nicole Pineda, PHD
• Andrew Piner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.