Chesapeake Physical & Aquatic Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHESAPEAKE PHYSICAL & AQUATIC THERAPY

Practice address

13946 Baltimore Ave
Laurel, MD 20707-5000

Phone

(301) 498-2212

Fax

(301) 498-2213

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jared Stewart Goldstein, P.T.NPI 1184778474

Title

Owner

Phone

(410) 381-7000

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Chesapeake Physical and Aquatic Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chesapeake Physical and Aquatic Therapy

  • Physical Therapist
  • Columbia, MD
  • NPI 1316283864
  NPD tax ID
• Chesapeake Physical Aquatic Therapy Inc

  • Physical Therapist
  • Elkridge, MD
  • NPI 1194001719
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Goldstein, MPT

  • Physical Therapist
  • Columbia, MD
  • NPI 1184778474
  Authorized official Same address or phone
• Alice Barron Kahl, PT, ATC

  • Sports Physical Therapist
  • Melbourne, FL
  • NPI 1417944711
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275687535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13946 BALTIMORE AVE.",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13946 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PHYSICAL & AQUATIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-381-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DC PROVIDER #",
            "identifier": "S429",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD PROVIDER #",
            "identifier": "KBX3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Lane Operating Group LLC (Cherry Lane Nursing and Rehabilitation Center)
• Deidre Jeanine Cherry, SLP
• Lakeiya Cherry, MSW, LICSW, LCSW-C
• Chesapeake Bay Aquatic & Physical Therapy, Inc
• Chesapeake Bay Aquatic & Physical Therapy, Inc
• Sharone Lerner Cheskis
• William Liao Chestnut, MSPT
• CHI Q Wellness, LLC
• Elvis Y CHI, HHA
• Roseline Fuen Chia Epse Tarlishi

• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• 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.