Active NPI
Connie E Chiu
- Physical Therapist
- West Chester, OH
National Provider Identifier
1053483545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010838
- Practice address
- 8020 Liberty Way
West Chester, OH 45069-2519 - Phone
- (513) 246-2270
- Fax
- (513) 860-0713
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PT010838 | OH | Primary |
Addresses
Primary practice location
8020 Liberty Way
West Chester, OH 45069-2519
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 246-2270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4278921 | Other | OH | MEDICARE PTAN |
| P00868410 | Other | OH | MEDICARE RAILROAD PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010838 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1053483545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-246-2270",
"fax_number": "513-860-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 LIBERTY WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692519",
"telephone_number": "513-246-2270",
"fax_number": "513-860-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "CONNIE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT010838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4278921",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "P00868410",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.