COASTAL CHIROPRACTIC LLC
NPI 1285147801
Chiropractor in Easton, MD

Active since November 06, 2017
717 GOLDSBOROUGH ST, EASTON, MD 21601(410) 829-2998 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2020, Nov 6, 2017 (2 updates tracked since 2017).

About Coastal Chiropractic Llc NPPES

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

COASTAL CHIROPRACTIC LLC (NPI 1285147801) is a healthcare organization registered as a chiropractor in Easton, Maryland and active in the NPI registry since November 2017. The organization lists Marissa Wallie, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1285147801
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOASTAL CHIROPRACTIC LLC
Location Address717 GOLDSBOROUGH STEaston, MD 21601-4914
Mailing Address137 Fox Den RdChurch Hill, MD 21623-1437
Organization SubpartNo
Authorized OfficialMarissa WallieDoctor/owner · (410) 829-2998
Enumeration DateNovember 6, 2017
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1285147801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · 01998
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.
717 GOLDSBOROUGH ST, Easton, MD 21601

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 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)

Coastal Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1760589394
530 COLLEGE PKWY SUITE F
Annapolis, MD 21409
(410) 349-2727
28 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 Coastal Chiropractic LLC's NPI number?

The NPI number for Coastal Chiropractic LLC is 1285147801. It was assigned to this organization in the NPPES registry on November 6, 2017.

Where is Coastal Chiropractic LLC located?

Coastal Chiropractic LLC is located at 717 Goldsborough St, Easton, MD 21601. The listed phone number is (410) 829-2998.

What is Coastal Chiropractic LLC's specialty?

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

Is Coastal Chiropractic LLC enrolled in Medicare?

Yes. Coastal Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Coastal Chiropractic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Chiropractic LLC was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.