Clara Paige Chanda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18842 Issued in NC

Practice address

3100 NC 55 Hwy Ste 102
Cary, NC 27519-8427

Phone

(919) 338-1522

NPI assigned

Jun 4, 2019

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

Other names 1

• Clara Paige Kinnison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Move With Me Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, NC
  • NPI 1396871869
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1487212338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NC 55 HWY STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198427",
            "telephone_number": "919-338-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NC 55 HWY STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198427",
            "telephone_number": "919-338-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDA",
        "first_name": "CLARA",
        "middle_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "KINNISON",
            "middle_name": "PAIGE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan McLester Chamberlin, MS, CCC-SLP
• Cynthia Chambers, CDE, RD, LDN
• Erica Chambers
• Stacey Chambers, OTR/L
• Nelson Chan
• Khushbu Anirudhdha Chandarana, M.D.
• Rajat Chander, M.D.
• Anna S Chandler, BT
• Chitrabharathi Chandrasekaran, M.D
• Audrey Ou Chang

• Physical Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.