Individual provider Active NPI

Kenny Chantasi, DO

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
National Provider Identifier
1427216175
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
259456 Issued in NY
Practice address
2295 S Hiawassee Rd Ste 103
Orlando, FL 32835-8748
Phone
(917) 832-4912
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 259456 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS22127 FL

Addresses

Primary practice location

2295 S Hiawassee Rd Ste 103
Orlando, FL 32835-8748

Mailing address

2295 S Hiawassee Rd Ste 410
Orlando, FL 32835-8747
Phone (917) 832-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110111000607 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Pain Management 6305035064 Reassigns benefits to 2 organizations
I20250603004216 FL Practitioner - Physical Medicine and Rehabilitation 6305035064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenny Chantasi DO PLLCGroup PAC ID 0840718912, 4 clinicians

Practice addresses (Care Compare)

1847 Florida Ave
Panama City, FL 32405-4640
Phone (850) 914-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS22127FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Physical Medicine & Rehabilitation CurrentSince Sep 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 1, 2010 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 1, 2010 Accepting new patients
Kenny Chantasi DO PLLC Pain Medicine CurrentSince May 1, 2025 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

2295 S Hiawassee Rd
Ste 410
Orlando, FL 32835
Phone (917) 832-4912

2295 S Hiawassee Rd
Ste 103
Orlando, FL 32835

1847 Florida Ave
Panama City, FL 32405
Phone (850) 914-8600

180 Fort Washington Ave
#199
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1427216175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S HIAWASSEE RD STE 410",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358747",
            "telephone_number": "917-832-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S HIAWASSEE RD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358748",
            "telephone_number": "917-832-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTASI",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "259456",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS22127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.