Individual provider Active NPI

Constance Taras Karwandyar, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1396145926
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023441 Issued in IL
Practice address
211 N Stetson Ave
Chicago, IL 60601-7803
Phone
(312) 801-8440
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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 070023441 IL Primary
Physical Therapist 225100000X 10103 TN

Addresses

Primary practice location

211 N Stetson Ave
Chicago, IL 60601-7803

Mailing address

211 N Stetson Ave
Chicago, IL 60601-7803
Phone (312) 801-8440

Other practice location 1

5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2054
Phone (615) 885-0200

Other identifiers 2

IdentifierTypeStateIssuer
6021023OtherTNBCBS TN
Q008736MedicaidTN

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

LicenseStateTypeSpecialty
10103TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Rehabilitation Centers, LTD Physical Therapist PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1396145926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N STETSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017803",
            "telephone_number": "312-801-8440",
            "fax_number": "128-018-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N STETSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017803",
            "telephone_number": "312-801-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5651 Frist Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762054",
            "country_code": "US",
            "telephone_number": "615-885-0200",
            "fax_number": "615-885-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARWANDYAR",
        "first_name": "CONSTANCE",
        "middle_name": "TARAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023441",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6021023",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008736",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.