Active NPI
Aby E Chismar, DPT
- Physical Therapist
- Boardman, OH
National Provider Identifier
1306083704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011866
- Practice address
- 277 Boardman Canfield Rd
Boardman, OH 44512-4806 - Phone
- (330) 726-9671
- Fax
- (330) 726-4232
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- 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 Therapist | 225100000X | 011866 | OH | Primary |
Addresses
Primary practice location
277 Boardman Canfield Rd
Boardman, OH 44512-4806
Mailing address
277 Boardman Canfield Rd
Boardman, OH 44512-4806
Phone (330) 726-9671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3144047 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011866 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1306083704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124806",
"telephone_number": "330-726-9671",
"fax_number": "330-726-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124806",
"telephone_number": "330-726-9671",
"fax_number": "330-726-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISMAR",
"first_name": "ABY",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3144047",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.