Provider Demographics
NPI:1790779965
Name:JONES, CHERYL DENISE (BS PT)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:BS PT
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Mailing Address - Street 1:7700 OLD BRANCH AVE
Mailing Address - Street 2:E108
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1628
Mailing Address - Country:US
Mailing Address - Phone:301-856-3011
Mailing Address - Fax:301-856-3013
Practice Address - Street 1:7700 OLD BRANCH AVE
Practice Address - Street 2:E108
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1628
Practice Address - Country:US
Practice Address - Phone:301-856-3011
Practice Address - Fax:301-856-3013
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD17199225100000X
DCPT870252225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD800615OtherUS DEPT OF LABOR (ENERGY)
MD000165100Medicaid
MD204450700OtherUS DEPT OF LABOR (ACS)
MD219933OtherANTHEM BC/BS
MDKBG3KEOtherCAREFIRST GROUP #
MD043618988OtherCIGNET HEALTH PLAN
MD043618988OtherFIRST HEALTH NETWORK
MD2973167OtherAETNA HMO
MD6401009OtherUNITED HEALTHCARE MID-ATL
MD043618988OtherTRICARE
MD544483OtherNCPPO (NCAS)
MD7506378OtherAETNA PPO PROVIDER NUMBER
MD85339OtherAMERIGROUP
MD043618988OtherINTEGRATED HEALTH PLAN
MD2363202OtherUNITED HEALTHCARE INSURAN
MDS371OtherCAREFIRST INDIVIDUAL PROV
MD043618988OtherCIGNET HEALTH PLAN