Individual provider Active NPI

Chad Caiazza

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1306163670
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010186-1 Issued in NY
Practice address
295 Madison Ave
New York, NY 10017-6304
Phone
(212) 634-2830
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 010186-1 NY Primary

Addresses

Primary practice location

295 Madison Ave
New York, NY 10017-6304

Mailing address

4 Winifred Dr
Albany, NY 12205-1848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120413000197 NY Practitioner - Occupational Therapist in Private Practice 4082875398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 S Family Dr
Colonie, NY 12205-1049
Phone (518) 456-4500

59 Harris Rd
Troy, NY 12182-3406
Phone (518) 669-9033

6900 Buckley Rd
Syracuse, NY 13212-4042
Phone (631) 467-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010186-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jan 1, 2012 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jan 1, 2012 Accepting new patients

Locations

345 Northern Blvd
Ste 100
Albany, NY 12204
Phone (518) 462-1689

1 Emma Ln
Clifton Park, NY 12065
Phone (518) 280-5867

5 S Family Dr
Colonie, NY 12205
Phone (518) 213-9923

20 Peachtree Ct
Ste 105
Holbrook, NY 11741
Phone (518) 253-4983

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1306163670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINIFRED DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176304",
            "telephone_number": "212-634-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIAZZA",
        "first_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010186-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.