Chesapeake Physical Aquatic Therapy Inc in Columbia - Sports

Chesapeake Physical Aquatic Therapy Inc - NPI 1467513978

Chesapeake Physical Aquatic Therapy Inc is a Sports in Columbia, Maryland. Chesapeake Physical Aquatic Therapy Inc practices all healthcare services and medical treatments related to Sports. The NPI Number for Chesapeake Physical Aquatic Therapy Inc is 1467513978. The last update date is 2008-12-19.

Chesapeake Physical Aquatic Therapy Inc's current location address is 7080 Deepage Dr, Columbia, Maryland. You can contact this provider via phone number 4103817000 and fax number 4103813779. The mailing address for Chesapeake Physical Aquatic Therapy Inc is 7080 Deepage Dr, Columbia, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chesapeake Physical Aquatic Therapy Inc
Address 7080 Deepage Dr, Columbia, Maryland
Phone Number 4103817000
Fax Number 4103813779
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Goldstein S Jared
Credentials PT
Telephone Number 4103817000

NPI Number Detail

NPI Number 1467513978
Provider Enumeration Date 2006-12-12
Last Updated Date 2008-12-19

Provider Mailing Address Detail

Address 7080 Deepage Dr
City Columbia
State Maryland (MD)
Post Code 210455219
Phone Number 4103817000
Fax Number 4103813779

Provider's Primary Taxonomy Detail

Speciality Sports
Taxonomy 2251S0007X
Licence No 19690
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
KBX3 MD BLUE CROSS BLUE SHIELD
S429 MD BLUE CROSS BLUE SHIELD

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FAQs about Chesapeake Physical Aquatic Therapy Inc

What is the unique 10-digit identifier code assigned to Chesapeake Physical Aquatic Therapy Inc by the Centers for Medicare & Medicaid Services?

The Chesapeake Physical Aquatic Therapy Inc has been issued the NPI (National Provider Identifier) 1467513978 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Chesapeake Physical Aquatic Therapy Inc is physically located?

The Chesapeake Physical Aquatic Therapy Inc is physically situated at the following address: 7080 Deepage Dr, Columbia, MD, 210455219.

What is Chesapeake Physical Aquatic Therapy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chesapeake Physical Aquatic Therapy Inc is Sports, and the taxonomy classification code that categorizes this area of expertise is 2251S0007X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1467513978 to Chesapeake Physical Aquatic Therapy Inc?

The Centers for Medicare & Medicaid Services originally issued the 1467513978 to Chesapeake Physical Aquatic Therapy Inc on 2006-12-12.

When was the information regarding Chesapeake Physical Aquatic Therapy Inc most recently updated?

The details pertaining to the Chesapeake Physical Aquatic Therapy Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-12-19.

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