Individual provider Active NPI

Chandra Mohan Singh, OTR

  • Occupational Therapist
  • Chesterton, IN
National Provider Identifier
1508082686
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003457A Issued in IN
Practice address
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Phone
(219) 926-9770
Fax
(219) 926-9889
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003457A IN Primary

Addresses

Primary practice location

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

Mailing address

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Phone (219) 926-9779

Other names 1

  • Chandra Mohan Singh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000243 IN Practitioner - Occupational Therapist in Private Practice 2264592963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31003457AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterton Physical Therapy, Inc. Occupational Therapist CurrentSince Jul 14, 2008 Accepting new patients

Locations

425 Sand Creek Dr
Ste C
Chesterton, IN 46304
Phone (219) 926-9779

320 Dunes Plz
Michigan City, IN 46360
Phone (219) 898-4360

3190 Willowcreek Rd
Ste A
Portage, IN 46368

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1508082686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SAND CREEK DR",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041589",
            "telephone_number": "219-926-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SAND CREEK DR",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041589",
            "telephone_number": "219-926-9770",
            "fax_number": "219-926-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "CHANDRA",
        "middle_name": "MOHAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003457A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "SINGH",
            "middle_name": "MOHAN",
            "credential": "OTD, OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.