Kristin Shelly (NPI# 1659617769, PAC ID# 1658657424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1659617769 |
| PAC ID by PECOS | 1658657424 |
| Professional Enrollment ID | I20170410001173 |
| Full Name | Kristin Shelly |
| Organization Legal Name | CHESAPEAKE BAY AQUATIC AND PHYSICAL THERAPY, INC |
| Address |
545 Baltimore Annapolis Blvd Severna Park MD 21146-3809 |
| Phone Number | 4103159080 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0749319788 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 White Marsh Park Dr, Bowie, MD 20715-4361 | 3012625852 | CHESAPEAKE BAY AQUATIC AND PHYSICAL THERAPY, INC |
| 13946 Baltimore Ave, Laurel, MD 20707-5000 | 3014982212 | CHESAPEAKE BAY AQUATIC AND PHYSICAL THERAPY, INC |
| 545 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 | 4103159080 | CHESAPEAKE BAY AQUATIC AND PHYSICAL THERAPY, INC |
| Organization Legal Name | CHESAPEAKE BAY AQUATIC AND PHYSICAL THERAPY, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Cox | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 13946 Baltimore Ave, Laurel, MD 20707-5000 |
| Rommer Dizon | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 100 White Marsh Park Dr, Bowie, MD 20715-4361 |
| Gordon Ward | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 2430 Broad Ave, Timonium, MD 21093-2262 |
| Danielle L Goldstein | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 9475 Deereco Rd, Suite 102, Timonium, MD 21093-2124 |
| Mark Aleksander Boyland | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 9475 Deereco Rd, Suite 102, Timonium, MD 21093-2124 |
| Albion J Yesilonis | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 9475 Deereco Rd, Suite 102, Timonium, MD 21093-2124 |
| Ronald Herbst | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 9475 Deereco Rd, Suite 102, Timonium, MD 21093-2124 |
| Krystal L Muller | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 9475 Deereco Rd, Suite 102, Timonium, MD 21093-2124 |
| Chirag Ajay Kadakia | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 13946 Baltimore Ave, Laurel, MD 20707-5000 |
| Gayna Lacy | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 13946 Baltimore Ave, Laurel, MD 20707-5000 |
| Street Address |
545 BALTIMORE ANNAPOLIS BLVD |
| City | SEVERNA PARK |
| State | MD |
| Zip | 21146-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Moran | Physical Therapy | Chesapeake Bay Aquatic and Physical Therapy, Inc | 545 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Wells | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| John D Wallop | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| Whitney P Carlsen | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| Lois Jane Schramek | Nurse Practitioner | 213 Newport Dr, Severna Park, MD 21146-1349 | |
| Danielle C Cheplowitz | Nurse Practitioner | Chesapeake Elder Call, LLC | 213 Newport Dr, Severna Park, MD 21146-1349 |
| Robert W Frazier | Diagnostic Radiology | Foundation Radiology Group PC | 208 Saint Ives Garth, Severna Park, MD 21146-1418 |
| Amit Newatia | Diagnostic Radiology | Foundation Radiology Group PC | 208 Saint Ives Garth, Severna Park, MD 21146-1418 |
| Abbie M Ellicott | Psychologist, Clinical | 479 Jumpers Hole Rd, Suite 304b, Severna Park, MD 21146-1732 | |
| Lee A Kleiman | Otolaryngology | 479 Jumpers Hole Rd, Suite 304, Severna Park, MD 21146-1734 | |
| Vanessa Geyer | Nurse Practitioner | Corelife Health Services, Inc. | 821 W Benfield Rd, Suite 3, Severna Park, MD 21146-2220 |
| Find all physicians in zip 21146 | |||
| City | SEVERNA PARK |
| Zip Code | 21146 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SEVERNA PARK + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.