Active NPI
Chieko Anne Vititow, PT
- Physical Therapist
- Kahuku, HI
National Provider Identifier
1497234546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014592-1
- Practice address
- 56-363 Huehu St
Kahuku, HI 96731-2007 - Phone
- (518) 545-1401
- NPI assigned
- Aug 9, 2018
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014592-1 | NY | Primary |
Addresses
Primary practice location
56-363 Huehu St
Kahuku, HI 96731-2007
Mailing address
56-363 Huehu St
Kahuku, HI 96731-2007
Phone (518) 545-1401
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014592-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1497234546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56-363 HUEHU ST",
"city": "KAHUKU",
"state": "HI",
"postal_code": "967312007",
"telephone_number": "518-545-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56-363 HUEHU ST",
"city": "KAHUKU",
"state": "HI",
"postal_code": "967312007",
"telephone_number": "518-545-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITITOW",
"first_name": "CHIEKO",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014592-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.