Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellyssa Brady Chinnaswamy, PA-C

Individual provider Physician Assistant · NPI 1639717697

Ellyssa Brady Chinnaswamy, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone: (508) 954-0741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence COOO7434 (MD)

Record details

NPI number1639717697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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