360 Rehabilitation & Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

360 REHABILITATION & CHIROPRACTIC LLC

Practice address

2010 Clipper Park Rd Ste 117
Baltimore, MD 21211-1439

Phone

(407) 712-4679

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Welty, DCNPI 1386091866

Title

Partner

Phone

(407) 712-4679

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Anna Welty, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1386091866
  NPD Authorized official
• Maria Yiassemides, D.C.

  • Chiropractor
  • Phoenix, MD
  • NPI 1194895284
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1992314090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BENSMILL CT STE 117",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366459",
            "telephone_number": "407-712-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CLIPPER PARK RD STE 117",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111439",
            "telephone_number": "407-712-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 REHABILITATION & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "WELTY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-712-4679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.