Individual provider Active NPI

Anna Elizabeth Chornyak, PT

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1033436183
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3188 Issued in ME
Practice address
260 Western Ave
South Portland, ME 04106-2432
Phone
(207) 879-7510
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3188 ME Primary

Addresses

Primary practice location

260 Western Ave
South Portland, ME 04106-2432

Mailing address

125 Newbury St
Portland, ME 04101-4220
Phone (207) 939-9365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000487 ME Practitioner - Physical Therapist in Private Practice 1355475138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Strong Physical Therapy PAGroup PAC ID 8224313143, 30 clinicians

Practice addresses (Care Compare)

380 Western Ave
South Portland, ME 04106-1720
Phone (207) 808-8908

400 Enterprise Dr
Suite 4
Scarborough, ME 04074-7663
Phone (207) 303-0612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Strong Physical Therapy PA Physical Therapist CurrentSince Mar 27, 2025 Accepting new patients
Holistic Physical Therapy Services Inc. Physical Therapist PastSince Nov 4, 2003 Accepting new patients

Locations

400 Enterprise Dr
Ste 4
Scarborough, ME 04074
Phone (207) 303-0612

380 Western Ave
South Portland, ME 04106
Phone (207) 233-7731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1033436183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEWBURY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014220",
            "telephone_number": "207-939-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062432",
            "telephone_number": "207-879-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORNYAK",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.