Active NPI
Brittany Chwastiak
- Athletic Trainer
- Damascus, MD
National Provider Identifier
1437639929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0000994
- Practice address
- 25921 Ridge Rd
Damascus, MD 20872-1846 - Phone
- (215) 804-5713
- NPI assigned
- Aug 15, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A0000994 | MD | Primary |
Addresses
Primary practice location
25921 Ridge Rd
Damascus, MD 20872-1846
Mailing address
18102 Rolling Meadow Way
Olney, MD 20832-1779
Phone (215) 804-5713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0000994 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1437639929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18102 ROLLING MEADOW WAY",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321779",
"telephone_number": "215-804-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25921 RIDGE RD",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721846",
"telephone_number": "215-804-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHWASTIAK",
"first_name": "BRITTANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.