Fatema Kanchwala, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21981 Issued in MA

Practice address

633 Highland Ave
Needham, MA 02494-2207

Phone

(781) 444-1614

Fax

(781) 444-9260

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Health 360 LLCGroup PAC ID 8325441603, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Health 360 LLC

  • Physical Therapist
  • Acton, MA
  • NPI 1881263614
  Medicare reassignment Care Compare group NPD
• Connections Physical Therapy Inc

  • Physical Therapist
  • Wellesley, MA
  • NPI 1699752931
  Medicare reassignment NPD
• Kennedy Brothers Physical Therapy Inc.

  • Physical Therapist
  • Needham, MA
  • NPI 1982756854
  Medicare reassignment NPD
• Kennedy Brothers Physical Therapy Inc.

  • Physical Therapist
  • Watertown, MA
  • NPI 1811063803
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1346600913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942207",
            "telephone_number": "781-444-1614",
            "fax_number": "781-444-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942207",
            "telephone_number": "781-444-1614",
            "fax_number": "781-444-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHWALA",
        "first_name": "FATEMA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Jeffrey Kahn, D.M.D.
• Paula Jane Kahn, LICSW
• Kaibigan Therapy
• Kelsey Kalenderian, RDN, LDN
• Claire Kallestad
• Lisa Michelle Kane, D.M.D.
• Christiana Kang, NP
• Katherine Greene Kanter
• Nandita Kapoor, D.M.D.
• Leah Kappel

• Physical Therapist in Needham, MA
• Providers in Needham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.