Active NPI
Michelle Chitjian, PT
- Orthopedic Physical Therapist
- New Hyde Park, NY
National Provider Identifier
1124518485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 006335-1
- Practice address
- 3 Delaware Dr Ste 202
New Hyde Park, NY 11042-1116 - Phone
- (516) 622-6161
- Fax
- (646) 893-5183
- NPI assigned
- May 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 006335-1 | NY | Primary |
Addresses
Primary practice location
3 Delaware Dr Ste 202
New Hyde Park, NY 11042-1116
Mailing address
56 Bethany Dr
Commack, NY 11725-1629
Phone (516) 702-9140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006335-1 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526083200000",
"number": "1124518485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BETHANY DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117251629",
"telephone_number": "516-702-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DELAWARE DR STE 202",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421116",
"telephone_number": "516-622-6161",
"fax_number": "646-893-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITJIAN",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-12",
"last_updated": "2018-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "006335-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.