Active NPI
Charitha Chowdanahalli Yashavanth
- Physical Therapist
- Leander, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1391568
- Practice address
- 1825 Crystal Falls Pkwy Ste 150
Leander, TX 78641-4041 - Phone
- (512) 817-5001
- NPI assigned
- Jun 5, 2024
- 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 | 1391568 | TX | Primary |
Addresses
Primary practice location
1825 Crystal Falls Pkwy Ste 150
Leander, TX 78641-4041
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
4607 Menchaca Rd
Austin, TX 78745-1607
Phone (512) 916-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Campbell Rd
Richardson, TX 75080-3512
Phone (972) 807-9168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Kidtherapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001
410 W FM 544
Ste 105
Murphy, TX 75094
Phone (469) 606-5003
1450 E Belt Line Rd
Ste 200
Richardson, TX 75081
Phone (214) 210-4409
210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 3
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Pediatric Physical Therapist
- Austin, TX
- NPI 1124213046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1386485050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 CRYSTAL FALLS PKWY STE 150",
"city": "LEANDER",
"state": "TX",
"postal_code": "786414041",
"telephone_number": "512-817-5001"
}
],
"practiceLocations": [
{
"address_1": "4607 Menchaca Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451607",
"country_code": "US",
"telephone_number": "512-916-1511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOWDANAHALLI YASHAVANTH",
"first_name": "CHARITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1391568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.