Life Clinic of Ma PC
NPI 1225568975ActiveOrganization· Chiropractor· Chestnut Hill, MA
Chiropractor in Chestnut Hill, Massachusetts, registered in NPPES in June 2017. The authorized official on file is Albert Couillard, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225568975 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2017 |
| Last updated in NPPES | Jun 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3387 | MA |
| Physical Therapist | 225100000X | 22574 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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