Individual provider Active NPI

Alex Chen

  • Physical Therapist
  • Mount Airy, MD
National Provider Identifier
1740019132
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009098 Issued in KY
Practice address
1202 Rising Ridge Rd Ste 1
Mount Airy, MD 21771-7519
Phone
(301) 798-4838
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 009098 KY Primary

Addresses

Primary practice location

1202 Rising Ridge Rd Ste 1
Mount Airy, MD 21771-7519

Mailing address

1202 Rising Ridge Rd Ste 1
Mount Airy, MD 21771-7519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909004662 MD Practitioner - Physical Therapist in Private Practice 3870033509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

9881 Broken Land Pkwy
Suite 103
Columbia, MD 21046-3013
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009098KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients

Locations

1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738

9881 Broken Land Pkwy
Ste 103
Columbia, MD 21046
Phone (240) 841-2639

1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

1202 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1740019132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 RISING RIDGE RD STE 1",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RISING RIDGE RD STE 1",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717519",
            "telephone_number": "301-798-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.