H M Chathuran Wikum Herath

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

009973-1 Issued in NY

Practice address

34 Cornell Dr
Canton, NY 13617-1037

Phone

(315) 386-7011

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1477929123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13938 87TH AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114353018",
            "telephone_number": "315-244-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CORNELL DR",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171037",
            "telephone_number": "315-386-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERATH",
        "first_name": "H M CHATHURAN WIKUM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee Haynes, FNP
• Ann Miriam Hazan, D.D.S.
• Healey Medical Practice, PLLC
• Gregory Healey, MD
• Tiffany Rose Hecht
• Michael Joseph Herzog, LCSW-R
• Dina Marie Hierholzer, RN
• Kenneth Henry Hilborne Jr., NP
• Rosa L Hills
• Chin Hung Ho, MD

• Physical Therapy Assistant in Canton, NY
• Providers in Canton, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.