Chiquita Regina Favali, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3444 Issued in MD

Practice address

10410 Kensington Pkwy
Kensington, MD 20895-2943

Phone

(301) 897-2330

NPI assigned

Oct 8, 2010

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.

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Physical Therapy Clinic/Center
  • Kensington, MD
  • NPI 1376601872
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1689984635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19225 CHANDLEE MILL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601505",
            "telephone_number": "301-924-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "301-897-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVALI",
        "first_name": "CHIQUITA",
        "middle_name": "REGINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Facteau, LCPC
• Joseph Fam
• Family Trauma Services, Inc
• Family Trauma Services, Inc.
• Nooshin F Farr, MD
• Michelle Feige, MSW
• Jennifer L. Feinstein, AUD
• Linda Felder, LCSW
• Clifford Lester Ferguson, M.D.
• Sarah Ferguson

• Physical Therapy Assistant in Kensington, MD
• Providers in Kensington, 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 Oct 8, 2010; 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.