Active NPI
Constance Taras Karwandyar, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1396145926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6021023 | Other | TN | BCBS TN |
| Q008736 | Medicaid | TN |
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 |
|---|---|---|---|
| 10103 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers, LTD | Physical Therapist | Past | 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.
-
dba Athletico Physical Therapy
- Physical Therapist
- Roscoe, IL
- NPI 1043604184
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.