Individual provider Active NPI

Charles Robert Sclater, MPT

  • Physical Therapist
  • Chesapeake Beach, MD
National Provider Identifier
1164590295
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20886 Issued in MD
Practice address
8501 Bayside Rd
Suite C4
Chesapeake Beach, MD 20732-3350
Phone
(443) 964-5656
Fax
(443) 965-5657
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20886 MD
Physical Therapist 225100000X 20886 MD Primary

Addresses

Primary practice location

8501 Bayside Rd
Suite C4
Chesapeake Beach, MD 20732-3350

Mailing address

8501 Bayside Rd
Suite C4
Chesapeake Beach, MD 20732-3350
Phone (443) 964-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000603 MD Practitioner - Physical Therapist in Private Practice 1153315817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8501 Bayside Rd
Chesapeake Beach, MD 20732-3313
Phone (443) 646-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20886MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CRK, LLC. Specialist CurrentSince Jan 18, 2017 Accepting new patients
Calvert Physical Therapy and Sports Fitness Ctr. Physical Therapist Past Accepting new patients

Locations

8501 Bayside Rd
Unit C4
Chesapeake Beach, MD 20732
Phone (443) 646-5514

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1164590295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 BAYSIDE RD",
            "address_2": "SUITE C4",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323350",
            "telephone_number": "443-964-5656",
            "fax_number": "443-964-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BAYSIDE RD",
            "address_2": "SUITE C4",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323350",
            "telephone_number": "443-964-5656",
            "fax_number": "443-965-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCLATER",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "20886",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.