Chaitanya Bathla, PHYSICAL THERAPIST

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

046871 Issued in NY

Practice address

7702 34TH Ave Apt B44
Jackson Heights, NY 11372-2255

Phone

(408) 507-6508

Fax

(866) 605-5654

NPI assigned

Aug 14, 2021

Last updated

Aug 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1184399735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 34TH AVE APT B44",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722255",
            "telephone_number": "408-507-6508",
            "fax_number": "866-605-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 34TH AVE APT B44",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722255",
            "telephone_number": "408-507-6508",
            "fax_number": "866-605-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHLA",
        "first_name": "CHAITANYA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "046871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.webpt.com",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "At Home Active Motion Physical Therapy Services, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "7702 34th Ave Apt B44",
            "city": "Jackson Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113722255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barton M Appel MD
• Ofir Baruk, DDS
• Shannen Ivy Rillera Bascao
• Antionette Bassi Rojas, MSW, CASAC
• Spencer Bastedo, LMSW
• Krystal J Batista
• Poonam Batra
• Shiref Ezzat Bayoumi, PT
• Ke'Shea S Bazemore, MSW
• Beast Health Homecare Inc

• Physical Medicine & Rehabilitation Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.