Active NPI
Partson Chinyadza, DPT, ATC
- Athletic Trainer
- Carmel, IN
National Provider Identifier
1457888786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002341A
- Practice address
- 14455 Clay Terrace Blvd
Carmel, IN 46032-3605 - Phone
- (317) 415-5795
- NPI assigned
- May 17, 2017
- Last updated
- May 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002341A | IN | Primary |
Addresses
Primary practice location
14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Mailing address
222 Republic Dr
Allen Park, MI 48101-3650
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002341A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1457888786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 REPUBLIC DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14455 CLAY TERRACE BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323605",
"telephone_number": "317-415-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINYADZA",
"first_name": "PARTSON",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002341A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
- Children's Health Partnership, Inc
- Children's Therapy House, LLC (Carmel Speech and Myo)
- Varun Reddy Chintakunta, DMD
- Chinthala, PC
- Prasanna Chinthala, M.D
- Chiro One Wellness Center of Carmel, LLC
- Chiropractic Specialists of Indiana, LLC
- Chiropractic Wellness Center of Indiana
- Amareshwar Chiruvella, M.D.
- C Keith Chitty, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.