Chitra Gidwani
Individual provider Active NPI Physical Therapy Assistant · Laurens, SC
NPI 1043989296 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1043989296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4362 (SC)
- Practice address
- 420 W Farley Ave
Laurens, SC 29360-3039 - Phone
- (864) 984-9844
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4362 | SC | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4362 | SC | Yes |
Addresses
Primary practice location
420 W Farley Ave
Laurens, SC 29360-3039
Mailing address
203 Silver Falls Dr
Simpsonville, SC 29681-7152
Other providers in Laurens, SC
- Genesis Smiles, LLC
- GHS Partners in Health
- GHS Partners in Health,Inc
- Crystal Gibbs
- Kathy Golding Gibbs
- Shannon M Giglotti
- Gilchrist Consultation and Counseling
- Tiffany Goggans
- Sarah De'Aira Goines
- Scott Stephen Goodwill
All providers in Laurens, SC · Physical Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. 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.