CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC. NPI 1487708178

Physical Therapist in Columbia, MD

NPI 1487708178 Organization Physical Therapist

About CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC.

Chesapeake Physical Aquatic Therapy, Inc. is a provider established in Columbia, Maryland specializing in physical therapist. The NPI number of Chesapeake Physical Aquatic Therapy, Inc. is 1487708178 and was assigned on January 2007. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Chesapeake Physical Aquatic Therapy, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jared Stewart Goldstein Mpt (Owner/pt)

NPI

1487708178

Provider NameCHESAPEAKE PHYSICAL AQUATIC THERAPY, INC.
Provider Location Address7080 DEEPAGE DR. COLUMBIA, MD 21045
Provider Mailing Address7080 DEEPAGE DR. COLUMBIA, MD 21045
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-22-2007
Last Update Date07-02-2013


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC.
7080 DEEPAGE DR.
COLUMBIA, MD
ZIP 21045
Phone: (410) 381-7000
Fax: (410) 381-3779

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Mailing Address

CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC.
7080 DEEPAGE DR.
COLUMBIA, MD
ZIP 21045
Phone: (410) 381-7000
Fax: (410) 381-3779



Authorized Official

Authorized Official NameMR. JARED STEWART GOLDSTEIN MPT
Authorized Official TitleOWNER/PT
Authorized Official Phone(410) 381-7000

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicNo

Taxonomy Description: a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
S429OTHER (01)MD
DC7775MEDICARE PIN (08)DC
KBX3OTHER (01)MD
729MMEDICARE UPIN (02)MD
G01032MEDICARE ID-TYPE UNSPECIFIED (04)MD

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.