Individual provider Active NPI

Andrea Kneessi, DC

  • Rehabilitation Chiropractor
  • Annapolis, MD
National Provider Identifier
1891116927
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S03766 Issued in MD
Practice address
1730 West St Unit 205
Annapolis, MD 21401-3764
Phone
(443) 808-8948
Fax
(443) 837-6354
NPI assigned
Dec 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S03766 MD Primary

Addresses

Primary practice location

1730 West St Unit 205
Annapolis, MD 21401-3764

Mailing address

9300 Livingston Rd
Suite 100
Fort Washington, MD 20744-4908
Phone (240) 766-0300

Other identifiers 1

IdentifierTypeStateIssuer
1891116927OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511000870 MD Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 3779884044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine
Education
National College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 301
Arnold, MD 21012-2471
Phone (248) 459-3327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03766MDMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced by the Bay CurrentSince Nov 4, 2024 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 301
Arnold, MD 21012
Phone (248) 459-3327

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1891116927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 LIVINGSTON RD",
            "address_2": "SUITE 100",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444908",
            "telephone_number": "240-766-0300",
            "fax_number": "240-766-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST ST UNIT 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013764",
            "telephone_number": "443-808-8948",
            "fax_number": "443-837-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEESSI",
        "first_name": "ANDREA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891116927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.