Active NPI
Anam Ghanchi
- Physical Therapist
- San Angelo, TX
National Provider Identifier
1336090026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1408987
- Practice address
- 3126 Appaloosa Cir
San Angelo, TX 76901-5225 - Phone
- (325) 944-4399
- NPI assigned
- Feb 7, 2026
- Last updated
- Oct 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054181-01 | NY | |
| Physical Therapist | 225100000X | 1408987 | TX | Primary |
Addresses
Primary practice location
3126 Appaloosa Cir
San Angelo, TX 76901-5225
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Westchester Ave
Suite 107
Purchase, NY 10577-2555
Phone (914) 328-3888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054181-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy and Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Brett Carpenter PT, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3010 Westchester Ave
Ste 107
Purchase, NY 10577
Phone (914) 328-3888
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.
-
- Physical Therapist
- Purchase, NY
- NPI 1508986464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1336090026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 APPALOOSA CIR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769015225",
"telephone_number": "325-944-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANCHI",
"first_name": "ANAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-07",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054181-01",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1408987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.