Provider Demographics
NPI:1700758349
Name:MCFADDEN, KAELA JOELLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KAELA
Middle Name:JOELLE
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:KAELA
Other - Middle Name:JOELLE
Other - Last Name:DEWITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:820 W DIAMOND AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1469
Mailing Address - Country:US
Mailing Address - Phone:301-315-3030
Mailing Address - Fax:
Practice Address - Street 1:11886 HEALING WAY STE 306
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7917
Practice Address - Country:US
Practice Address - Phone:240-637-5031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30619225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist