MEDICARE: MS. CHASITY NICOLE RAINEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	20547	MD
2	225100000X	Physical Therapist	870237	DC
3	225100000X	Physical Therapist	3614	VA

General Provider Information

NPI Number	:	1427174200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHASITY NICOLE RAINEY PT

Provider Business Mailing Address
First Line	:	2725 39TH ST NW
Second Line	:	UNIT 306
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1244
Country	:	US
Telephone Number	:	301-466-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 39TH ST NW
Second Line	:	UNIT 306
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1244
Country	:	US
Telephone Number	:	301-466-0061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/19/2008

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