Ayan Kumar Chakraborty, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1338768 Issued in TX

Practice address

9900 S Interstate 35 Ste P375
Austin, TX 78748-3885

Phone

(512) 580-3006

Fax

(512) 765-9192

NPI assigned

Sep 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1053960443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 S INTERSTATE 35 STE P375",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483885",
            "telephone_number": "512-580-3006",
            "fax_number": "512-765-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Canyon Ridge Dr Ste B150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787531689",
            "country_code": "US",
            "telephone_number": "512-596-0566",
            "fax_number": "512-596-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRABORTY",
        "first_name": "AYAN",
        "middle_name": "KUMAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1111112",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1338768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tira Chaicha-Brom, M.D.
• Erin Chaires
• Mridul Chakarvarty, DDS
• Ipsita Chakrabarti, BCBA
• Subhrojit Chakraborti
• Ripa Chakravorty, MD
• Renu Chalasani, MD
• Raya Jeanne Chalhoub, M.S., CCC-SLP
• Chalice Psychotherapies, PLLC
• Amanda J Chalich, IBCLC LM LMT

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.