Paul Bhupal Chandanshive, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018012 Issued in MI

Practice address

105 W Houghton Ave
West Branch, MI 48661-1286

Phone

(989) 343-9755

Fax

(989) 343-9955

NPI assigned

Jan 3, 2018

Last updated

Jan 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Advanced Downtown Aquatic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • West Branch, MI
  • NPI 1861850547

  Physical Therapist

  NPD (past)
• Community Rehabilitation Services,PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rose City, MI
  • NPI 1669424776
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1063929842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611286",
            "telephone_number": "989-343-9755",
            "fax_number": "989-343-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611286",
            "telephone_number": "989-343-9755",
            "fax_number": "989-343-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDANSHIVE",
        "first_name": "PAUL",
        "middle_name": "BHUPAL",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Carper
• Lauren Carry
• Stephanie Carvey, PHARMD
• Central Express Clinic PLLC
• Central Michigan Urgent Care & Wellness Center PC
• Samantha Lynn Chasteen
• Rob Chmieleski I
• Brittany Suzanne Chrivia
• Shaun M Clarke, PA-C
• Ann Sarnes Cleary, M.A.,C.C.C.,SLP

• Physical Therapist in West Branch, MI
• Providers in West Branch, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.