Chesapeake Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHESAPEAKE PHYSICAL THERAPY, LLC

Practice address

210 S Cross St
Suite 103
Chestertown, MD 21620-1569

Phone

(410) 778-3900

Fax

(410) 778-1448

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Katy Weddell, P.T.NPI 1114067428

Title

Physical Therapist

Phone

(410) 778-3900

Specialties & licenses 1

Addresses

Other names 1

• Katy Mulligan Weddell, P.T. Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Katy Mulligan Weddell, P.T.

  • Physical Therapist
  • Chestertown, MD
  • NPI 1114067428

  MD, Physical Therapist

  Medicare reassignment NPD Authorized official
• Jennifer L. Walters, P.T.

  • Physical Therapist
  • Chesapeake City, MD
  • NPI 1386729531
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1508068255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S CROSS ST",
            "address_2": "SUITE 103",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201569",
            "telephone_number": "410-778-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CROSS ST",
            "address_2": "SUITE 103",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201569",
            "telephone_number": "410-778-3900",
            "fax_number": "410-778-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "WEDDELL",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-778-3900",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy Mulligan Weddell, P.T.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chester River Health Center

• All providers in Chestertown, MD
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.