✓ Licensed & Credentialed Chiropractic Providers — Chiropractor (111N00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ACUTE SPINE THERAPY & REHAB, LLC (NPI #1902160898)

Chiropractor • GAITHERSBURG, MD • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1902160898
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
111N00000X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor
Box 32 Service Location & ZIP+4
20 MONTGOMERY VILLAGE AVE, SUITE A, GAITHERSBURG, MD, 20879-3581
✓ 9-Digit EDI 837 ZIP+4 (20879-3581)
Practice Phone & Referral Fax
Fax: (301) 977-0643
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902160898 (ACUTE SPINE THERAPY & REHAB, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1902160898 (NPI-2 Organization / Facility)
Provider / Legal NameACUTE SPINE THERAPY & REHAB, LLC
Plain-English SpecialtyLicensed & Credentialed Chiropractic Providers — Chiropractor
NUCC Code: 111N00000X (Chiropractor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address20 MONTGOMERY VILLAGE AVE, SUITE A, GAITHERSBURG, MD, 20879-3581
Practice Telephone / FaxTel: (301) 977-0640 | Fax: (301) 977-0643
Administrative Mailing Address20 MONTGOMERY VILLAGE AVE, GAITHERSBURG, MD, 20879-3581
Enumeration & Last SyncEnumerated: 2012-06-26 | CMS Record Updated: 2012-06-26
Authorized OfficialMICHAEL GIBSON (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20 MONTGOMERY VILLAGE AVE, SUITE A, GAITHERSBURG, MD, 20879-3581

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Plain-English Taxonomy & CMS Crosswalk (111N00000X)

What Does Taxonomy Code 111N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111N00000X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACUTE SPINE THERAPY & REHAB, LLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
111N00000X — Chiropractor
Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor
State: MD | License: S02178 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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