Active NPI
Chiarra Banque, P.T.
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1336266287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32031
- Practice address
- 301 S Fair Oaks Ave Ste 401
Pasadena, CA 91105-2562 - Phone
- (626) 744-0411
- Fax
- (626) 744-0431
- NPI assigned
- Mar 24, 2007
- 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 | PT32031 | CA | Primary |
Addresses
Primary practice location
301 S Fair Oaks Ave Ste 401
Pasadena, CA 91105-2562
Mailing address
1230 E Washington St Ste 2
Colton, CA 92324-6438
Phone (909) 825-6716
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 |
|---|---|---|---|
| PT32031 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336266287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 E WASHINGTON ST STE 2",
"city": "COLTON",
"state": "CA",
"postal_code": "923246438",
"telephone_number": "909-825-6716",
"fax_number": "909-825-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE STE 401",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052562",
"telephone_number": "626-744-0411",
"fax_number": "626-744-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANQUE",
"first_name": "CHIARRA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT32031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.