Individual provider Active NPI

Renee Colby Chalker, PT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1871630848
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20174 Issued in MD
Practice address
322 E Antietam St
Suite 104
Hagerstown, MD 21740-5794
Phone
(301) 766-0836
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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 20174 MD Primary

Addresses

Primary practice location

322 E Antietam St
Suite 104
Hagerstown, MD 21740-5794

Mailing address

322 E Antietam St
Suite 104
Hagerstown, MD 21740-5794
Phone (301) 766-0836

Other names 1

  • Renee Colby Chalker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807000530 MD Practitioner - Physical Therapist in Private Practice 6204163736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Bodysense PT, LLCGroup PAC ID 4789756008, 7 clinicians

Practice addresses (Care Compare)

6 Tiger Way
Boonsboro, MD 21713-2084
Phone (301) 432-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20174MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bodysense PT, LLC Physical Therapist CurrentSince Jul 5, 2019 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

6 Tiger Way
Boonsboro, MD 21713
Phone (301) 432-8585

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1871630848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST",
            "address_2": "SUITE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405794",
            "telephone_number": "301-766-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST",
            "address_2": "SUITE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405794",
            "telephone_number": "301-766-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALKER",
        "first_name": "RENEE",
        "middle_name": "COLBY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "CHALKER",
            "middle_name": "COLBY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.