Chutima Phanpho, PT MA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042465 Issued in NY

Practice address

509 Court St
Brooklyn, NY 11231-3909

Phone

(929) 295-6566

Fax

(929) 295-6570

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Chutima Phanpho Physical Therapy PLLC

  • Physical Therapist
  • Sunnyside, NY
  • NPI 1265145999
  NPD Authorized official
• Activecare Physical Therapy P C

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1821164799
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1447763115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 46TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041869",
            "telephone_number": "347-652-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313909",
            "telephone_number": "929-295-6566",
            "fax_number": "929-295-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W 37th St Rm 1202",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187375",
            "country_code": "US",
            "telephone_number": "347-652-8218",
            "fax_number": "212-901-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHANPHO",
        "first_name": "CHUTIMA",
        "name_prefix": "Mrs.",
        "credential": "PT MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taewon Nadine Phanglyn
• Evette Phanor, LMSW
• Flambert Phanor
• Marie S Phanor, LPN
• Barbara Phanord
• Pharm Carerx Inc
• Pharm J Inc
• Pharm J Inc
• Pharma Aid Corp
• Pharma Care Consulting, Inc

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.