Eddy Chen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28764 Issued in MD

Practice address

4511 Knox Rd Ste 102
College Park, MD 20740-3380

Phone

(301) 277-6616

NPI assigned

Nov 18, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment Care Compare group NPD
• Professional Sportscare & Rehab, LLC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  DC, MD, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment Care Compare group
• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842

  Physical Therapist

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Odenton, MD
  • NPI 1447129507
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1043977663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 PINE VIEW LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 KNOX RD STE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403380",
            "telephone_number": "301-277-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngekwi Chanchi Marilyn
• Prisco Chapajong
• Beth Ann Charbonneau, LCSW-C
• Matthew Robert Charvat, A.T.,C.
• Awa Cheika
• Yangyi Chen, LAC
• Jiyon Cheng, O.D.
• Judith Ann Chernoff, M.D.
• Ashani Cherry, PHYSICIAN ASSISTANT
• Sarah N Chiawah, HHA

• Physical Therapist in College Park, MD
• Providers in College Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.