Active NPI
Paul D Simonetti, DPT
- Physical Therapist
- Chestertown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19425
- Practice address
- 201 Talbot Blvd Ste W
Chestertown, MD 21620-3000 - Phone
- (410) 778-3445
- Fax
- (410) 778-3702
- NPI assigned
- Jun 23, 2006
- Last updated
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 19425 | MD | Primary |
Addresses
Primary practice location
201 Talbot Blvd Ste W
Chestertown, MD 21620-3000
Mailing address
201 Talbot Blvd Ste W
Chestertown, MD 21620-3000
Phone (410) 778-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Talbot Blvd W
Chestertown Ortho
Chestertown, MD 21620-3000
Phone (410) 778-3445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19425 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Past | Accepting new patients |
Locations
201 Talbot Blvd
Ste W
Chestertown, MD 21620
Phone (410) 778-3445
818 High St
Ste 2
Chestertown, MD 21620
Phone (410) 275-8156
360 E Pulaski Hwy
Ste 2B
Elkton, MD 21921
Phone (410) 403-5075
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1609802636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 TALBOT BLVD STE W",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203000",
"telephone_number": "410-778-3445",
"fax_number": "410-778-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 TALBOT BLVD STE W",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203000",
"telephone_number": "410-778-3445",
"fax_number": "410-778-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONETTI",
"first_name": "PAUL",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.