Active NPI
Patrena Lynette Caldwell, P.T
- Physical Therapist
- Gwynn Oak, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18087
- Practice address
- 9 Summerset CT
Gwynn Oak, MD 21207-8108 - Phone
- (410) 484-1001
- NPI assigned
- Nov 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18087 | MD | Primary |
Addresses
Primary practice location
9 Summerset CT
Gwynn Oak, MD 21207-8108
Mailing address
9 Summerset CT
Gwynn Oak, MD 21207-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Dilkon Medical Center | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Salus Capital Inc | Physical Therapist | Current | Accepting new patients |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| RTD Medical Center, Inc. | Physical Therapist | Past | Accepting new patients |
| R&S Home Care, Inc | Past | Accepting new patients | |
| Atlantic Medical Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
500 Indiana Ave
Winslow, AZ 86047
1527 N Park Dr
Winslow, AZ 86047
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061
Organizations & group practices 9
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.
-
- Physical Therapist
- Baltimore, MD
- NPI 1568859478
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
-
- Physical Medicine & Rehabilitation Physician
- Reisterstown, MD
- NPI 1083766646
Physical Therapist
-
- Home Health Agency
- Baltimore, MD
- NPI 1336317536
-
- Physical Therapist
- Baltimore, MD
- NPI 1194864058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306917463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SUMMERSET CT",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212078108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SUMMERSET CT",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212078108",
"telephone_number": "410-484-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "PATRENA",
"middle_name": "LYNETTE",
"name_prefix": "Miss",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gwynn Oak, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.