Individual provider Active NPI

Chantelle Arnett Cunningham

  • Pediatric Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1285106328
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
012751 Issued in OH
Practice address
3430 Burnet Ave # Mlc4007
Cincinnati, OH 45229-2833
Phone
(513) 803-3839
NPI assigned
Dec 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 012751 OH Primary

Addresses

Primary practice location

3430 Burnet Ave # Mlc4007
Cincinnati, OH 45229-2833

Mailing address

3430 Burnet Ave # Mlc4007
Cincinnati, OH 45229-2833
Phone (513) 803-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317000879 OH Practitioner - Physical Therapist in Private Practice 6608261284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone (513) 891-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Balance Related Disorders and Rehabilitation Inc CurrentSince Nov 27, 2023 Accepting new patients
Children's Hospital Medical Center Past Accepting new patients

Locations

9402 Towne Square Ave
Ste C45242
Blue Ash, OH 45242
Phone (513) 231-2700

7685 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1285106328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 BURNET AVE # MLC4007",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292833",
            "telephone_number": "513-803-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 BURNET AVE # MLC4007",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292833",
            "telephone_number": "513-803-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CHANTELLE",
        "middle_name": "ARNETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "012751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.

Verify at the official NPI Registry.