Individual provider Active NPI

Aishwariya Chockalingam

  • Orthopedic Physical Therapist
  • Dallas, TX
National Provider Identifier
1437890415
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
048568-01 Issued in NY
Practice address
3100 Olympus Blvd
Suite 500
Dallas, TX 75019
Phone
(800) 205-2150
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 048568-01 NY Primary

Addresses

Primary practice location

3100 Olympus Blvd
Suite 500
Dallas, TX 75019

Mailing address

9346 Fern LN
Des Plaines, IL 60016-4215
Phone (224) 829-4658

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
048568-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. CurrentSince Mar 15, 2023 Accepting new patients
Rancho Physical Therapy, Inc. CurrentSince Mar 15, 2023 Accepting new patients

Locations

600 Central Ave
Ste C
Lake Elsinore, CA 92530

31720 US Highway 79
Ste 101
Temecula, CA 92592
Phone (951) 303-3566

12402 Industrial Blvd
Ste B2
Victorville, CA 92395
Phone (760) 955-6061

Organizations & group practices 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1437890415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9346 FERN LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164215",
            "telephone_number": "224-829-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "800-205-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCKALINGAM",
        "first_name": "AISHWARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "048568-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.