Individual provider Active NPI

Chintan A Pancholi-Parekh, DPT

  • Physical Therapist
  • Birdsboro, PA
National Provider Identifier
1194943050
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028965 Issued in PA
Practice address
321 N Furnace St Ste 160
Birdsboro, PA 19508-2057
Phone
(610) 582-2250
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 40QA00975500 NJ
Physical Therapist 225100000X PT028965 PA Primary

Addresses

Primary practice location

321 N Furnace St Ste 160
Birdsboro, PA 19508-2057

Mailing address

93 Nichols Mill Rd
Downingtown, PA 19335-1394
Phone (973) 239-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220301002580 PA Practitioner - Physical Therapist in Private Practice 9335533769
I20240525000418 NJ Practitioner - Physical Therapist in Private Practice 9335533769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028965PAMDPhysical Therapist
40QA00975500NJMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Prny, PC CurrentSince Jun 7, 2024 Accepting new patients
Keystone Rehabilitation Systems Inc PastSince Mar 12, 2023 Accepting new patients
Keystone Rehabilitation Systems, Inc. PastSince Mar 12, 2023 Accepting new patients

Locations

218 Ridgedale Ave
Ste 204
Cedar Knolls, NJ 07927
Phone (973) 359-0777

1086 Teaneck Rd
Ste 3F
Teaneck, NJ 07666
Phone (973) 628-1300

265 US Highway 46
Ste 102
Totowa, NJ 07512
Phone (973) 628-1300

Organizations & group practices 4

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1194943050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NICHOLS MILL RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351394",
            "telephone_number": "973-239-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N FURNACE ST STE 160",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082057",
            "telephone_number": "610-582-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHOLI-PAREKH",
        "first_name": "CHINTAN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00975500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.