Active NPI
Periaswamy Subash Chandar, P.T.
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1497889208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 0011706
- Practice address
- 6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274 - Phone
- (239) 437-6620
- Fax
- (239) 437-6619
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 0011706 | FL | Primary |
Addresses
Primary practice location
6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274
Mailing address
6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274
Phone (239) 437-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y020X | Other | FL | BCBS |
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 |
|---|---|---|---|
| PT 0011706 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497889208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 WINKLER RD",
"address_2": "UNIT # 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197274",
"telephone_number": "239-437-6620",
"fax_number": "239-437-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 WINKLER RD",
"address_2": "UNIT # 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197274",
"telephone_number": "239-437-6620",
"fax_number": "239-437-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDAR",
"first_name": "PERIASWAMY",
"middle_name": "SUBASH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 0011706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y020X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.