Thomas J Chichak, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004867 Issued in PA

Practice address

401 Penn Ave
Scranton, PA 18503-1213

Phone

(570) 961-4300

NPI assigned

May 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1285218545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CIRCLE DR",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031424",
            "telephone_number": "570-430-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031213",
            "telephone_number": "570-961-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHAK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Chernova, MD
• Kathryn Chesnick, CRNA
• Tatiana O. Chesnut, M.D.
• Carling Ka-Ling Cheung, MD
• Lokendra Chhantyal, M.D.
• Cheryl Chieffallo, CRNA
• Children'S Advocacy Center of Nepa
• Childwise ABA LLC
• Carolyn A Chilewski, PA-C
• Terrance Scott Chilson, M.D.

• Physical Therapy Assistant in Scranton, PA
• Providers in Scranton, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.