NPIMap

Organization Active NPI

Chesapeake Physical Aquatic Therapy Inc

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1730233479
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHESAPEAKE PHYSICAL AQUATIC THERAPY INC
Practice address
730 Frederick Rd
Catonsville, MD 21228-4532
Phone
(410) 719-8661
Fax
(410) 719-8996
NPI assigned
Jan 22, 2007
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Mr. Jared Stewart Goldstein, P.T.NPI 1184778474
Title
Owner
Phone
(410) 381-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

730 Frederick Rd
Catonsville, MD 21228-4532

Mailing address

314 Marshall Ave
Laurel, MD 20707-4823
Phone (301) 498-2212

Other identifiers 1

IdentifierTypeStateIssuer
KBX3OtherMDBLUE SHIELD MD

National Provider Directory

National Provider Directory

Locations

730 Frederick Rd
Catonsville, MD 21228
Phone (410) 719-8661

Practitioners & affiliated clinicians

Practitioners 4

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1730233479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MARSHALL AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074823",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284532",
            "telephone_number": "410-719-8661",
            "fax_number": "410-719-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PHYSICAL AQUATIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-381-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MD",
            "identifier": "KBX3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.