Active NPI
Anoop Chacko
- Physical Therapist
- Astoria, NY
National Provider Identifier
1154835957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042614
- Practice address
- 3244 31St St
Astoria, NY 11106-2561 - Phone
- (718) 707-6970
- Fax
- (718) 707-6977
- NPI assigned
- Dec 1, 2017
- Sex
- Male
- 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 Therapist | 225100000X | 042614 | NY | Primary |
Addresses
Primary practice location
3244 31St St
Astoria, NY 11106-2561
Mailing address
7324 Yellowstone Blvd
Forest Hills, NY 11375-4137
Phone (718) 268-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190403002713 | NY | Practitioner - Physical Therapist in Private Practice | 2062753841 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
32 -44
Astoria, NY 11106-2561
3244 31St St
Astoria, NY 11106-2561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Motion Physical Therapy PC | Current | Accepting new patients | |
| In-Motion Physical Therapy, P.C. | Current | Accepting new patients |
Locations
765 Burke Ave
Bronx, NY 10467
Phone (347) 348-0519
341 Jerusalem Ave
Hicksville, NY 11801
Phone (516) 595-7273
Organizations & group practices 2
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.
-
- Specialist
- Astoria, NY
- NPI 1578631727
-
- Specialist
- Brooklyn, NY
- NPI 1356510184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1154835957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754137",
"telephone_number": "718-268-2888",
"fax_number": "718-268-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062561",
"telephone_number": "718-707-6970",
"fax_number": "718-707-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "ANOOP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.