Active NPI
Carl Dexter Chua, PT
- Physical Therapist
- Rockville, MD
National Provider Identifier
1912181710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22364
- Practice address
- 6110 Executive Blvd
Suite 460
Rockville, MD 20852 - Phone
- (240) 833-2921
- Fax
- (240) 833-2937
- NPI assigned
- Dec 28, 2007
- Sex
- Male
- 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 | 22364 | MD | Primary |
Addresses
Primary practice location
6110 Executive Blvd
Suite 460
Rockville, MD 20852
Mailing address
6110 Executive Blvd
Suite 460
Rockville, MD 20852-3903
Phone (240) 833-2921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22364 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Baltimore, MD
- NPI 1104832948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1912181710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 EXECUTIVE BLVD",
"address_2": "SUITE 460",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523903",
"telephone_number": "240-833-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 EXECUTIVE BLVD",
"address_2": "SUITE 460",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "240-833-2921",
"fax_number": "240-833-2937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "CARL",
"middle_name": "DEXTER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.