Active NPI
Chester Evidente, PT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1275306870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041801
- Practice address
- 3400 Cannon PL
Bronx, NY 10463-4302 - Phone
- (240) 408-9047
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 041801 | NY | Primary |
Addresses
Primary practice location
3400 Cannon PL
Bronx, NY 10463-4302
Mailing address
2810 Jackson Ave Apt 17S
Long Island City, NY 11101-3143
Phone (240) 408-9047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Services of Flatiron PC | Physical Therapist | Current | Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257
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.
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1134705676
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1275306870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 JACKSON AVE APT 17S",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111013143",
"telephone_number": "240-408-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CANNON PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104634302",
"telephone_number": "240-408-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVIDENTE",
"first_name": "CHESTER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.