Individual provider Active NPI

Fe Therese Martinez Chavez, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1093596306
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048248 Issued in NY
Practice address
4343 Kissena Blvd Ste 110
Flushing, NY 11355-2914
Phone
(718) 661-1710
Fax
(718) 886-6414
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048248 NY Primary

Addresses

Primary practice location

4343 Kissena Blvd Ste 110
Flushing, NY 11355-2914

Mailing address

11617 Grosvenor LN
Richmond Hill, NY 11418-3510
Phone (347) 844-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115001827 NY Practitioner - Physical Therapist in Private Practice 0749637551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Dynamic Physical Therapy Services PCGroup PAC ID 2961390026, 6 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

4343 Kissena Blvd
Suite 110
Flushing, NY 11355-2914
Phone (718) 661-1710

4701 Queens Blvd
Sunnyside, NY 11104-1660
Phone (718) 729-5924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048248NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Current Accepting new patients
Dynamic Physical Therapy Services PC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Excellent Choice Physical Therapy, P.C. Physical Therapist PastSince Jan 1, 2003 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4343 Kissena Blvd
Ste 110
Flushing, NY 11355
Phone (718) 463-1515

924 N Broadway
Massapequa, NY 11758
Phone (516) 520-5507

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1093596306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11617 GROSVENOR LN",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183510",
            "telephone_number": "347-844-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD STE 110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552914",
            "telephone_number": "718-661-1710",
            "fax_number": "718-886-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "FE THERESE",
        "middle_name": "MARTINEZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.