Alexis Villanueva Chavente, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008117A Issued in NY

Practice address

3801 Old Bruceville Rd
Vincennes, IN 47591-3889

Phone

(812) 886-4677

Fax

(812) 886-4678

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1437280245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8734 NAVIGATOR DR",
            "address_2": "SUITE 1307",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372992",
            "telephone_number": "646-508-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 OLD BRUCEVILLE RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913889",
            "telephone_number": "812-886-4677",
            "fax_number": "812-886-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVENTE",
        "first_name": "ALEXIS",
        "middle_name": "VILLANUEVA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026027A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "05008117A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "026027A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "05008117A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Sue Cates, OTR/L
• Christine M Cavanaugh, OTR
• Destany Chambers
• Gavin D Chartier, M.D.
• Muhammad Yafaa Naveed Chaudhary, MBCHB
• Brandi Chestnut, PTA
• CHI National Home Care, LLC
• Children & Family Services, Corp.
• Sung-Bin Cho
• Audrey Elaine Christian, RN

• All providers in Vincennes, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.