Active NPI
Steve Samuel Chacko
- Physical Therapy Assistant
- Frisco, TX
National Provider Identifier
1275323693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2187634
- Practice address
- 4300 Cotton Gin Rd
Frisco, TX 75034-4480 - Phone
- (469) 437-5045
- NPI assigned
- May 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 2187634 | TX | Primary |
Addresses
Primary practice location
4300 Cotton Gin Rd
Frisco, TX 75034-4480
Mailing address
1228 Muscogee TRL
Carrollton, TX 75010-1164
Phone (214) 529-8931
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2187634 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1275323693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 MUSCOGEE TRL",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750101164",
"telephone_number": "214-529-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 COTTON GIN RD",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344480",
"telephone_number": "469-437-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "STEVE",
"middle_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2187634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.