Individual provider Active NPI

Anam Ghanchi

  • Physical Therapist
  • San Angelo, TX
National Provider Identifier
1336090026
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408987 Issued in TX
Practice address
3126 Appaloosa Cir
San Angelo, TX 76901-5225
Phone
(325) 944-4399
NPI assigned
Feb 7, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260408002532 NY Practitioner - Physical Therapist in Private Practice 1254806151 Reassigns benefits to 1 organization

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
Elite Physical Therapy and Rehabilitation LLCGroup PAC ID 5395632129, 3 clinicians

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

LicenseStateTypeSpecialty
054181-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy and Rehabilitation LLC Physical Therapist CurrentSince Feb 7, 2026 Accepting new patients
Brett Carpenter PT, PLLC Physical Therapist PastSince May 1, 2003 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.

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.

Verify at the official NPI Registry.