Malyssa Emily Chanthasoto, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-15498 Issued in NC

Practice address

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455

Phone

(860) 525-4469

NPI assigned

Jun 17, 2021

Last updated

Nov 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Surgical Partners, P.C.Group PAC ID 1355394115, 29 clinicians

Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
• Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mchanthasoto602380@directhisp.wakemed.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic Surgical Partners, P.C.

  • Orthopaedic Surgery Physician
  • Rocky Hill, CT
  • NPI 1710017439
  Medicare reassignment Care Compare group
• Wakemed Specialists Group, LLC

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1588227839
  Medicare reassignment Care Compare group
• Orthopedic Surgical Partners, PC

  • Orthopaedic Surgery Physician
  • Enfield, CT
  • NPI 1528672722
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wakemed

  dba Wakemed Cary Hospital

  • General Acute Care Hospital
  • Cary, NC
  • NPI 1114993086
  Care Compare affiliation
• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  dba WakeMed Raleigh Campus

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1487222188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 404",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673455",
            "telephone_number": "551-427-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 404",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673455",
            "telephone_number": "860-525-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Farmington Ave Apt 2W",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191623",
            "country_code": "US",
            "telephone_number": "551-427-7163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Ensign Dr",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013773",
            "country_code": "US",
            "telephone_number": "860-751-6039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Middle Tpke W",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060403834",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Cranbrook Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823889",
            "country_code": "US",
            "telephone_number": "860-525-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Tappan Rd",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NJ",
            "postal_code": "076481606",
            "country_code": "US",
            "telephone_number": "551-427-7163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANTHASOTO",
        "first_name": "MALYSSA",
        "middle_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5241",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Connecticut Health District
• Central Connecticut Health District (Central CT Health District Clinical Services)
• Central CT Anxiety Ocd Treatment LLC
• Filomena Chamberland, OTR/L
• Ashley Chambrello, L.M.F.T.
• Charlestin Chiropractic Group LLC
• Jonathan Charlestin, DC
• Brian Chase, AGACNP-BC
• Shumei Chen, AC.LC.
• Stacy Alise Chesnick, MSN, APRN, FNP-C

• Physician Assistant in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.