Richard Chamorro, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00189100 Issued in NJ

Practice address

33-06 Rosalie St
Fair Lawn, NJ 07410-4736

Phone

(201) 232-8257

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1265146153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-06 ROSALIE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104736",
            "telephone_number": "201-232-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-06 ROSALIE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104736",
            "telephone_number": "201-232-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMORRO",
        "first_name": "RICHARD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48078",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00189100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "48078",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "40QB00189100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cella Foot and Ankle Specialty
• Antonella Cella, DPM
• Breanna A Cerniglia, LSW
• David Robert Chabbott, MD
• Shayna Chamish, LSW
• Shweta Chandarana
• Daliya Anoo Chandroth
• Regina Charles, LAC
• Chase Medical Group, PC
• Sadia R Chaudry, M.D.

• Physical Therapy Assistant in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.