Individual provider Active NPI

Chanchai Thomas Hongdoxmai, PT, DPT

  • Orthopedic Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1225538960
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P17093 Issued in NC
Practice address
6011 Farrington Rd
Chapel Hill, NC 27517
Phone
(984) 974-3696
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X P17093 NC Primary

Addresses

Primary practice location

6011 Farrington Rd
Chapel Hill, NC 27517

Mailing address

6011 Farrington Rd
Chapel Hill, NC 27517-8168
Phone (984) 974-3696

Other practice location 1

4709 Creekstone Dr Ste 300
Durham, NC 27703-0016
Phone (919) 684-2445

Other practice location 2

4709 Creekstone Dr Ste 300
Durham, NC 27703-0016
Phone (919) 684-2445

Other practice location 3

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 239-0952

Other practice location 4

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 239-0952

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17093NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Past Accepting new patients

Organizations & group practices 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1225538960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178168",
            "telephone_number": "984-974-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "984-974-3696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 Creekstone Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277030016",
            "country_code": "US",
            "telephone_number": "919-684-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4709 Creekstone Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277030016",
            "country_code": "US",
            "telephone_number": "919-684-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-239-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-239-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONGDOXMAI",
        "first_name": "CHANCHAI",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P17093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.