NPIMap

Organization Active NPI

CRK, LLC.

Doing business as Elite Care Physical Therapy at Chesapeake Beach

  • Specialist
  • Chesapeake Beach, MD
National Provider Identifier
1710426697
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CRK, LLC.
Doing business as
Elite Care Physical Therapy at Chesapeake Beach
Practice address
8501 Bayside Road
Suite C 4
Chesapeake Beach, MD 20732-8501
Phone
(240) 299-4686
NPI assigned
Feb 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Rosalea Knight, D.P.T., A.T.C.
Title
Part Owner/ Physical Therapist
Phone
(240) 299-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD Primary

Addresses

Primary practice location

8501 Bayside Road
Suite C 4
Chesapeake Beach, MD 20732-8501

Mailing address

P.O. Box 978
Chesapeake Beach, MD 20732

Other names 1

  • Elite Care Physical Therapy at Chesapeake Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171019000441 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587941117 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake Beach, MD

National Provider Directory

National Provider Directory

Locations

8501 Bayside Rd
Unit C4
Chesapeake Beach, MD 20732
Phone (443) 646-5514

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710426697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 978",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "20732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BAYSIDE ROAD",
            "address_2": "SUITE C 4",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207328501",
            "telephone_number": "240-299-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ROSALEA",
        "authorized_official_title_or_position": "PART OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "240-299-4686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.T., A.T.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Care Physical Therapy at Chesapeake Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.