Chastian Powers
Individual provider Active NPI Physical Therapist · West Hartford, CT
NPI 1043935679 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1043935679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 635 New Park Ave
West Hartford, CT 06110-1329 - Phone
- (860) 964-0677
- NPI assigned
- Oct 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
635 New Park Ave
West Hartford, CT 06110-1329
Mailing address
218 Trout Brook Dr
West Hartford, CT 06110-1236
Other providers in West Hartford, CT
- Posture Corp.
- Ira Potashner
- Pounds Medical Weight Loss Transformation PC
- Pounds, Medical Weight Loss Transformation, PC
- Margaret Powell
- Practitioners Advancing Healthcare
- Precision Toxicology, LLC
- Sarah Elizabeth Preleski
- David Priest
- Primecare Health Services, PC
All providers in West Hartford, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.