BERRY CHIROPRACTIC CENTER (NPI# 1437331311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437331311 |
| Entity Type | Organization |
| Organization Name | BERRY CHIROPRACTIC CENTER |
| Practice Address |
176 Thomas Johnson Dr #204 Frederick MD 21702-4410 |
| Practice Telephone | 3016204100 |
| Practice Fax Number | 3014201407 |
| Mailing Telephone | 3016204100 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | MR. DONALD BLAKE BERRY (OWNER) |
| Authorized Official Telephone | 3016204100 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
S01420 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 3831919 | 01 | |
| CAREFIRST BCBS FEP | W375-0001 | 01 | |
| MAMSI | 223239 | 01 | |
| CAREFIRST BCBS MARYLAND | KP25BE | 01 |
| Street Address |
176 THOMAS JOHNSON DR #204 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819093 | John R Kovitch | Dentist | 176 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4410 | 2005-08-25 |
| 1558887117 | Ayana White | Counselor | 176 Thomas Johnson Dr, Frederick, MD 21702-4410 | 2017-08-16 |
| 1134579626 | Middleton Psychology Services, LLC | Clinic/Center | 176 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4410 | 2016-06-15 |
| 1841696325 | Michelle Cooper Np, LLC | Nurse Practitioner | 176 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4499 | 2014-11-12 |
| 1316119365 | Michelle Marie Cooper | Nurse Practitioner | 176 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4410 | 2008-03-31 |
| 1417131467 | Live Radiology, LLC | Clinic/Center | 176 Thomas Johnson Dr, Suite 103, Frederick, MD 21702-4410 | 2007-12-27 |
| 1861619140 | Laura H Millard | Social Worker | 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 | 2007-04-19 |
| 1902948177 | Jean H. Brennan | Social Worker | 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 | 2007-02-13 |
| 1265525513 | Darci Deann Feifer | Counselor | 176 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4410 | 2006-10-01 |
| 1881796506 | Mindy Korol | Psychologist | 176 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4410 | 2006-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518030956 | Mid-atlantic Clinic of Chiropractic LLC | Chiropractor | 7196 Crestwood Blvd, Suite 100, Frederick, MD 21703-1844 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105623 | Level Up Spine Care and Rehab | Chiropractor | 5419 Deale Churchton Rd Ste 102, Churchton, MD 20733-2408 | 2019-10-10 |
| 1811408339 | Life Chiropractic of Olney, LLC | Chiropractor | 18120 Hillcrest Ave Ste D, Olney, MD 20832-1444 | 2017-10-24 |
| 1518495373 | Kiesan Liu | Chiropractor | 1835 University Blvd E Ste 230, Hyattsville, MD 20783-4657 | 2017-05-24 |
| 1164870283 | Sarah Corcoran | Chiropractor | 10805 Hickory Ridge Road, Suite 103, Columbia, MD 21044 | 2016-05-31 |
| 1437543808 | Ross Dubin | Chiropractor | 2850 N Ridge Rd Ste 107, Ellicott City, MD 21043-3396 | 2015-03-24 |
| 1851720015 | Alexander Oni | Chiropractor | 4219 Cedar Tree Ln, Burtonsville, MD 20866-1368 | 2013-11-07 |
| 1780991000 | Glenn R Miller | Chiropractor | 2901 Druid Park Dr Ste 106, Ashburton Chiropractic, Baltimore, MD 21215-8172 | 2010-09-08 |
| 1962723304 | Jennifer L Davis | Chiropractor | 4641 Montgomery Ave Ste 404, Bethesda, MD 20814-3431 | 2010-06-21 |
| 1902121064 | Bobbak Mozafari | Chiropractor | 6860 Olney Laytonsville Rd Unit 3, Laytonsville, MD 20882-1921 | 2010-04-01 |
| 1154552644 | Leon Young | Chiropractor | 3511 Harford Rd, Baltimore, MD 21218-3122 | 2009-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.