Organization
CHANEY PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA M. CHANEY PT (OWNER)
(301) 373-5827
Entity
Organization
Contact information
Practice address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753
Mailing address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144035
MEDICARE PTAN
MD
01
—
53476701
BLUE CROSS BLUE SHIELD REGIONAL PROFESSIONAL NUMBER
MD
01
—
601566700
U. S. DEPARTMENT OF LABOR - FECA
MD
05
—
987000800
—
MD
01
—
N419
BLUE CROSS BLUE SHIELD OF MARYLAND
MD
01
—
N4190001
BLUE CROSS / BLUE SHIELD FEP
MD
01
—
S16758
UPIN
MD
Enumeration date
07/08/2008
Last updated
04/16/2009
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