Healthcare Provider Details

I. General information

NPI: 1952213159
Provider Name (Legal Business Name): EVERWELL SPINE & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 ANNAPOLIS RD STE 104
GLENN DALE MD
20769-9183
US

IV. Provider business mailing address

12150 ANNAPOLIS RD STE 104
GLENN DALE MD
20769-9183
US

V. Phone/Fax

Practice location:
  • Phone: 301-302-8327
  • Fax: 301-302-8337
Mailing address:
  • Phone: 301-302-8327
  • Fax: 301-302-8337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. EVERETT SCOTT
Title or Position: OWNER
Credential: DC
Phone: 301-302-8327