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:
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:2025-05-02
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
MD043618988OtherINTEGRATED HEALTH PLAN
MD219933OtherANTHEM BC/BS
MD043618988OtherCIGNET HEALTH PLAN
MD043618988OtherFIRST HEALTH NETWORK
MD2973167OtherAETNA HMO
MD85339OtherAMERIGROUP
MDS371OtherCAREFIRST INDIVIDUAL PROV
MD2363202OtherUNITED HEALTHCARE INSURAN
MD7506378OtherAETNA PPO PROVIDER NUMBER
MD043618988OtherTRICARE
MDKBG3KEOtherCAREFIRST GROUP #
MD544483OtherNCPPO (NCAS)
MD6401009OtherUNITED HEALTHCARE MID-ATL
MD800615OtherUS DEPT OF LABOR (ENERGY)
MD000165100Medicaid
MD204450700OtherUS DEPT OF LABOR (ACS)
MD043618988OtherCIGNET HEALTH PLAN