Active NPI
Paige Wilde, DPT
- Physical Therapist
- Chesapeake Beach, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30207 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Calverthealth Medical Center, Inc. | Physical Therapist | Current | Accepting new patients |
| Calverthealth Medical Center, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Prince Frederick, MD
- NPI 1558718668
Physical Therapist
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, MD, Physical Therapist
-
- Physical Therapist
- Westminster, MD
- NPI 1518951995
-
- Physical Therapy Clinic/Center
- Dunkirk, MD
- NPI 1578910683
Physical Therapist
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.