Charnel Anderson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6029 Issued in MD

Practice address

29770 Three Notch Rd Ste 201
Charlotte Hall, MD 20622-3192

Phone

(301) 290-0800

NPI assigned

Nov 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coordinated Movements Inc

  • Speech-Language Pathologist
  • Charlotte Hall, MD
  • NPI 1659462133
  NPD (past)

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1679399240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23007 MCCOOL DR",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192433",
            "telephone_number": "850-512-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29770 THREE NOTCH RD STE 201",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223192",
            "telephone_number": "301-290-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARNEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Abad, OTR/L
• Mary Abbott
• Academy Dental Care LLC
• Olayemi Iyabode Adedoja, DNP-CRNP
• Affiliated Sante Group
• Christal Micheele Andrews, ADT
• Amber Ariemma, LCPC
• Zaneta Artis-Wheeler
• Laura G Ashley, LCSW-C
• Associates in Radiation Medicine, PC

• Physical Therapy Assistant in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.