Nijah M Chinn, PT, MHA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005030 Issued in VA

Practice address

300B Temple Lake Dr
Suite 1
Colonial Heights, VA 23834-2973

Phone

(804) 524-9036

Fax

(804) 524-9039

NPI assigned

Jun 23, 2009

Last updated

Aug 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1386872968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061990",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B TEMPLE LAKE DR",
            "address_2": "SUITE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342973",
            "telephone_number": "804-524-9036",
            "fax_number": "804-524-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "NIJAH",
        "middle_name": "M",
        "credential": "PT, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00726345",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (PHYSICAL THERAPY)",
            "identifier": "192946",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4651942",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386872968",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie L Chamberlain, PT, DPT
• Nellie Sue Chamblee, FNP-C
• Dianne E Chapman, RPH
• Markiya Cheatham
• Gouthami Ratna Chennu
• Chiro One Wellness Center of Colonial Heights LLC
• Ming Sung Chiu, M.D.
• Lisa Yunjung Chung
• Kimberly Ann Church, FNP-BC
• City of Colonial Heights (Colonial Heights Fire & EMS)

• Physical Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.