LIFE CLINIC OF MA PC
NPI 1225568975
Chiropractor in Chestnut Hill, MA

Active since June 15, 2017
300 BOYLSTON ST, CHESTNUT HILL, MA 02467(339) 927-4379 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2017, Jun 15, 2017 (2 updates tracked since 2017).

About Life Clinic Of Ma Pc NPPES

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

LIFE CLINIC OF MA PC (NPI 1225568975) is a healthcare organization registered as a chiropractor in Chestnut Hill, Massachusetts and active in the NPI registry since June 2017. The organization lists Albert Couillard, President, as its authorized official.

NPPES Registry Identity

NPI1225568975
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CLINIC OF MA PC
Location Address300 BOYLSTON STChestnut Hill, MA 02467-1959
Mailing AddressPo Box 686Chanhassen, MN 55317-0686
Organization SubpartNo
Authorized OfficialAlbert CouillardPresident · (339) 927-4379
Enumeration DateJune 15, 2017
Last NPPES UpdateJune 26, 20192 updates tracked since enumeration
✔ NPI 1225568975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 3387
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 22574 (MA)
300 BOYLSTON ST, Chestnut Hill, MA 02467

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Clinic Of Ma Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Life Clinic Of Ma PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Chiropractic
NPI 1043366347
111 WILLARD ST STE 2A
Quincy, MA 02169
(617) 804-7464
✔ Accepts Medicare8.7 mi
Chiropractic
NPI 1780216382
75 FINNELL DR
Weymouth, MA 02188
(781) 682-9755
✔ Accepts Medicare14 mi
Chiropractic
NPI 1043901382
530 WALKER VALLEY RD
Pine Bush, NY 12566
(845) 271-8998
172 mi
Chiropractic
NPI 1124773668
2935 PROVIDENCE RD STE 204
Charlotte, NC 28211
(980) 237-4016
716 mi
Chiropractic
NPI 1811362734
3303 NORTHLAND DR #210
Austin, TX 78731
(512) 407-8292
✔ Accepts Medicare1,687 mi

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 Life Clinic Of Ma PC's NPI number?

The NPI number for Life Clinic Of Ma PC is 1225568975. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Life Clinic Of Ma PC located?

Life Clinic Of Ma PC is located at 300 Boylston St, Chestnut Hill, MA 02467. The listed phone number is (339) 927-4379.

What is Life Clinic Of Ma PC's specialty?

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

Is Life Clinic Of Ma PC enrolled in Medicare?

Yes. Life Clinic Of Ma PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Clinic Of Ma PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Life Clinic Of Ma PC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Clinic Of Ma PC was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.