NPIMap

Individual provider Active NPI

Andrea Norman, PTA

  • Physical Therapy Assistant
  • Chestertown, MD
National Provider Identifier
1669869046
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2126 Issued in MD
Practice address
818 High St
Suite 1
Chestertown, MD 21620-1152
Phone
(410) 778-6565
Fax
(410) 778-6536
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2126 MD Primary

Addresses

Primary practice location

818 High St
Suite 1
Chestertown, MD 21620-1152

Mailing address

818 High St
Suite 1
Chestertown, MD 21620-1152
Phone (410) 778-6565

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

LicenseStateTypeSpecialty
A2126MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chestertown Physical Therapy Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1669869046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HIGH ST",
            "address_2": "SUITE 1",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "410-778-6565",
            "fax_number": "410-778-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 HIGH ST",
            "address_2": "SUITE 1",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "410-778-6565",
            "fax_number": "410-778-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "ANDREA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2126",
            "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 Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.