Active NPI
Dan Ancheta
- Physical Therapist
- New York, NY
National Provider Identifier
1013245836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029783-1
- Practice address
- 575 8TH Ave
New York, NY 10018-3011 - Phone
- (212) 221-1544
- NPI assigned
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029783-1 | NY | Primary |
Addresses
Primary practice location
575 8TH Ave
New York, NY 10018-3011
Mailing address
8431 123Rd St
Kew Gardens, NY 11415-3304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263762745 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029783-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1013245836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8431 123RD ST",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114153304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183011",
"telephone_number": "212-221-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCHETA",
"first_name": "DAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029783-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263762745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.