ELLICOTT CITY WELLNESS CHIROPRACTIC, L.L.C.
NPI 1063797694
Chiropractor in Ellicott City, MD

Active since October 14, 2011
9025 CHEVROLET DR, SUITE D, ELLICOTT CITY, MD 21042(410) 750-2540(410) 750-2541 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellicott City Wellness Chiropractic, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLICOTT CITY WELLNESS CHIROPRACTIC, L.L.C. (NPI 1063797694) is a healthcare organization registered as a chiropractor in Ellicott City, Maryland and active in the NPI registry since October 2011. The organization lists Brian G. Heaton, Doctor, as its authorized official.

NPPES Registry Identity

NPI1063797694
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELLICOTT CITY WELLNESS CHIROPRACTIC, L.L.C.
Location Address9025 CHEVROLET DR, SUITE DEllicott City, MD 21042-4017
Mailing Address9025 Chevrolet Dr, Suite DEllicott City, MD 21042-4017 · (410) 750-2540 · Fax (410) 750-2541
Fax(410) 750-2541
Organization SubpartNo
Authorized OfficialBrian G. HeatonDoctor · (410) 750-2540
Enumeration DateOctober 14, 2011
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1063797694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MD · 1468 PT✔ Licensed in MD · 1467 PT
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9025 CHEVROLET DR, Ellicott City, MD 21042

Other Identifiers 3

OtherY921-0001MD · Carefirst(brian)
OtherY921MD · Carefirst(group#)
OtherY921-0002MD · Carefirst(lindsey)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellicott City Wellness Chiropractic, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellicott City Wellness Chiropractic, L.L.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1982734836
9025 CHEVROLET DR SUITE D
Ellicott City, MD 21042
(410) 750-2540
Same address
Chiropractic
NPI 1851421754
9025 CHEVROLET DR SUITE D
Ellicott City, MD 21042
(410) 750-2540
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellicott City Wellness Chiropractic, L.L.C.'s NPI number?

The NPI number for Ellicott City Wellness Chiropractic, L.L.C. is 1063797694. It was assigned to this organization in the NPPES registry on October 14, 2011.

Where is Ellicott City Wellness Chiropractic, L.L.C. located?

Ellicott City Wellness Chiropractic, L.L.C. is located at 9025 Chevrolet Dr Suite D, Ellicott City, MD 21042. The listed phone number is (410) 750-2540.

What is Ellicott City Wellness Chiropractic, L.L.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ellicott City Wellness Chiropractic, L.L.C. enrolled in Medicare?

Yes. Ellicott City Wellness Chiropractic, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellicott City Wellness Chiropractic, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ellicott City Wellness Chiropractic, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ellicott City Wellness Chiropractic, L.L.C. was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.