Organization Active NPI

Kibbey and Terle PT LLC

  • Specialist
  • Chevy Chase, MD
National Provider Identifier
1275656993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KIBBEY AND TERLE PT LLC
Practice address
5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530
Phone
(301) 654-7383
Fax
(301) 654-7897
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Arthur Kibbey, Jr, PT
Title
Owner
Phone
(301) 654-7383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530

Mailing address

5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530
Phone (301) 654-7383

Other identifiers 1

IdentifierTypeStateIssuer
KC97OtherMDCAREFIRST OF MD GROUP ID

National Provider Directory

National Provider Directory

Locations

5480 Wisconsin Ave
Ste B1
Chevy Chase, MD 20815
Phone (301) 598-7010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275656993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE",
            "address_2": "SUITE B-1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-654-7383",
            "fax_number": "301-654-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE",
            "address_2": "SUITE B-1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-654-7383",
            "fax_number": "301-654-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBBEY AND TERLE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIBBEY, JR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-654-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD GROUP ID",
            "identifier": "KC97",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.