Individual provider Active NPI

Gregory Chrest, DPT

  • Physical Therapist
  • Reisterstown, MD
National Provider Identifier
1982970521
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23972 Issued in MD
Practice address
2 Chartley Dr
Reisterstown, MD 21136-2328
Phone
(410) 833-5300
Fax
(301) 262-3173
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 23972 MD Primary

Addresses

Primary practice location

2 Chartley Dr
Reisterstown, MD 21136-2328

Mailing address

P O Box 4058
Crofton, MD 21114-4058
Phone (301) 262-5852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009001795 MD Practitioner - Physical Therapist in Private Practice 8729212584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Bay Aquatic and Physical Therapy, IncGroup PAC ID 0749319788, 9 clinicians

Practice addresses (Care Compare)

2 Chartley Dr
Reisterstown, MD 21136-2328
Phone (410) 833-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23972MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Aquatic & Physical Therapy Inc Physical Therapist CurrentSince Nov 2, 2015 Accepting new patients
Chesapeake Bay Aquatic & Physical Therapy Inc Physical Therapist Current Accepting new patients
Baltimore Physical Aquatic & Sports Therapy LLC CurrentSince Sep 1, 2022 Accepting new patients
Chesapeake Bay Aquatic & Physical Therapy, Inc CurrentSince Nov 2, 2015 Accepting new patients
Baltimore Physical Aquatic & Sports Therapy LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

100 White Marsh Park Dr
Bowie, MD 20715
Phone (301) 262-5852

13946 Baltimore Ave
Laurel, MD 20707
Phone (301) 262-5852

2 Chartley Dr
Reisterstown, MD 21136
Phone (410) 833-5300

9475 Deereco Rd
Ste 102
Timonium, MD 21093
Phone (410) 308-3543

8757 Mylander Ln
Towson, MD 21286
Phone (410) 213-5800

Organizations & group practices 6

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1982970521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 4058",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211144058",
            "telephone_number": "301-262-5852",
            "fax_number": "301-262-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHARTLEY DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362328",
            "telephone_number": "410-833-5300",
            "fax_number": "301-262-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHREST",
        "first_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.