Individual provider Active NPI

Jeffrey D Chichester, PHYSICAL THERAPIST

  • Physical Therapist
  • West Babylon, NY
National Provider Identifier
1538330808
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019531 Issued in NY
Practice address
576 Sunrise Hwy
West Babylon, NY 11704-6003
Phone
(631) 376-0318
Fax
(631) 376-0319
NPI assigned
Mar 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019531 NY Primary

Addresses

Primary practice location

576 Sunrise Hwy
West Babylon, NY 11704-6003

Mailing address

576 Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 376-0318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001277 NY Practitioner - Physical Therapist in Private Practice 4284610197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babylon Physical Therapy PLLCGroup PAC ID 8426004573, 5 clinicians

Practice addresses (Care Compare)

576 E Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 376-0318

576 Sunrise Hwy
West Babylon, NY 11704-6003

Merit-based Incentive Payment System (MIPS)

Final score
25.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethpage Physical Therapy Assoc PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1538330808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-376-0318",
            "fax_number": "631-376-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-376-0318",
            "fax_number": "631-376-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHESTER",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.