Chotika Pornphol

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

22032 N 74TH LN
Glendale, AZ 85310-5637

Phone

(469) 915-6565

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1528744331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22032 N 74TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105637",
            "telephone_number": "469-915-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22032 N 74TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105637",
            "telephone_number": "469-915-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORNPHOL",
        "first_name": "CHOTIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pongratz Orthotics & Prosthetics, Inc
• Grant Michael Pooley
• Yolanda Pooley, PAC
• Corina Magdalena Pop, ADMINISTRATOR
• Traian Popa
• Roxana Porras, RBT
• Portable Diagnostic Imaging
• Lidia Portan
• Charles Fredrick Porter
• Evan R Porter, MD

• Massage Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.