Active NPI
Chinechebem Jude-Anthony Amechi
- Physical Therapist
- Eldersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1332 Londontown Blvd
Eldersburg, MD 21784-6587 - Phone
- (410) 989-3833
- NPI assigned
- Jan 18, 2022
- Last updated
- Jan 18, 2022
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
1332 Londontown Blvd
Eldersburg, MD 21784-6587
Mailing address
5809 Comstock Ave
Baltimore, MD 21206-2214
Phone (443) 500-2569
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Felice Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
10 Light St
Baltimore, MD 21202
Phone (410) 202-8581
5731 Cottonworth Ave
Mt Washington, MD 21209
Phone (410) 708-4763
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Hunt Valley, MD
- NPI 1851774475
Physical Therapist
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1598416869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 COMSTOCK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212062214",
"telephone_number": "443-500-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 LONDONTOWN BLVD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846587",
"telephone_number": "410-989-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMECHI",
"first_name": "CHINECHEBEM",
"middle_name": "JUDE-ANTHONY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.