Provider Demographics
NPI:1427174200
Name:RAINEY, CHASITY NICOLE (PT)
Entity type:Individual
Prefix:MS
First Name:CHASITY
Middle Name:NICOLE
Last Name:RAINEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 39TH ST NW
Mailing Address - Street 2:UNIT 306
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1244
Mailing Address - Country:US
Mailing Address - Phone:301-466-0061
Mailing Address - Fax:
Practice Address - Street 1:2725 39TH ST NW
Practice Address - Street 2:UNIT 306
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-1244
Practice Address - Country:US
Practice Address - Phone:301-466-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20547225100000X
DC870237225100000X
VA3614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist