Active NPI
Itayi Ann Charasika, BS, DPT
- Physical Therapy Assistant
- Louisville, KY
National Provider Identifier
1114340148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A02970
- Practice address
- 9201 Rainbow Springs CT Apt 7
Louisville, KY 40241-2241 - Phone
- (502) 609-9916
- NPI assigned
- Jan 27, 2014
- 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 Therapy Assistant | 225200000X | A02970 | KY | Primary |
Addresses
Primary practice location
9201 Rainbow Springs CT Apt 7
Louisville, KY 40241-2241
Mailing address
9201 Rainbow Springs CT Apt 7
Louisville, KY 40241-2241
Phone (502) 609-9916
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02970 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1114340148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 RAINBOW SPRINGS CT APT 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412241",
"telephone_number": "502-609-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 RAINBOW SPRINGS CT APT 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412241",
"telephone_number": "502-609-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARASIKA",
"first_name": "ITAYI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "BS, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A02970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.