LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN – NPI #1134440092
Clinic/Center

LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN is an AHC clinic located in RANDALLSTOWN, MD. NPPES has assigned the NPI number 1134440092 to LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN on June 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN” is a dba name, the actual legal business name for this organization is ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 10 years ago on Nov 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN below.

NPI Profile for
ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC

NPI Number
1134440092
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC
Doing Business As (dba): LIBERTY CHIROPRACTIC & PHYSICAL THERAPY CENTER AT RANDALLSTOWN
Primary location
8507 LIBERTY ROAD
SUITE L1
RANDALLSTOWN, MD 21133
Phone: (443) 272-6763 Fax: (443) 272-7834
Mailing address
P.O. BOX 298
SEVERNA PARK, MD 21146
Phone: (443) 272-6763 Fax: (443) 272-7834
Organization Subpart
No
Authorized Official
SUE ELLEN PODMIJERSKY
MANAGING MEMBER
Phone: (443) 272-6763
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
MD S01679

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.