Individual provider Active NPI

Paige Wilde, DPT

  • Physical Therapist
  • Chesapeake Beach, MD
National Provider Identifier
1740004027
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30207 Issued in MD
Practice address
8420 Bayside Rd.
Chesapeake Beach, MD 20732
Phone
(443) 964-5656
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30207 MD Primary

Addresses

Primary practice location

8420 Bayside Rd.
Chesapeake Beach, MD 20732

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other practice location 1

130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241219000022 MD Practitioner - Physical Therapist in Private Practice 3971030669 Reassigns benefits to 3 organizations
I20250116000980 DC Practitioner - Physical Therapist in Private Practice 3971030669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

8420 Bayside Rd
Chesapeake Beach, MD 20732-3309
Phone (443) 964-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30207MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Calverthealth Medical Center, Inc. Physical Therapist Current Accepting new patients
Calverthealth Medical Center, Inc. Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

10845 Town Center Blvd
Ste 100
Dunkirk, MD 20754
Phone (410) 257-5263

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

130 Hospital Rd
Ste 103
Prnc Frederck, MD 20678
Phone (410) 535-8180

14090 Hg Trueman Rd
Ste 1500
Solomons, MD 20688
Phone (410) 394-2838

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1740004027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 BAYSIDE RD.",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "20732",
            "telephone_number": "443-964-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Hospital Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784029",
            "country_code": "US",
            "telephone_number": "410-535-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDE",
        "first_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.