NPIMap

Organization Active NPI

Chestertown Physical Therapy Services, Inc.

  • Physical Therapist
  • Chestertown, MD
National Provider Identifier
1689642696
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15022 Issued in MD
Legal business name
CHESTERTOWN PHYSICAL THERAPY SERVICES, INC.
Practice address
818 High St
Suite 1
Chestertown, MD 21620-1152
Phone
(410) 778-6565
Fax
(410) 778-6536
NPI assigned
Mar 8, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Julia H. Bainbridge, P.T.NPI 1215012513
Title
President
Phone
(410) 778-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 15022 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
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000056 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0941399547 Practice locations: Chestertown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689642696. Details of each certification follow.

  • CCN 216582 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216582

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHESTERTOWN PHYSICAL THERAPY & REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 29, 1992
Last certification
Mar 18, 2025
Ownership / control type
Proprietary
Facility address
818 High Street, Suite 1
Chestertown, MD 21620

National Provider Directory

National Provider Directory
Tax ID family
Chestertown Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1689642696",
    "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": {
        "organization_name": "CHESTERTOWN PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BAINBRIDGE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-778-6565",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.