Anna Chleboun

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-034009 Issued in AZ

Practice address

2619 S Woodlands Village Blvd Ste 750
Flagstaff, AZ 86001-1628

Phone

(928) 224-0747

NPI assigned

Dec 31, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basecamp Physical Therapy and Performance of Flagstaff LLCGroup PAC ID 1759738453, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Basecamp Physical Therapy and Performance of Flagstaff LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1033994736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1548079924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S WOODLANDS VILLAGE BLVD STE 750",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011628",
            "telephone_number": "928-224-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLEBOUN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child & Family Support Services, Inc
• Chiropractic Rehab and Neurology Inc
• Christine Chisholm, LCSW
• Kevin Chittenden, DMD
• Daniel Martin Chitwood, PT, DPT, LMT, CSCS
• Karis Hinae Jo Yun Choy
• Gary Steven Christensen, MD
• Christina G. Hibbert, PSYD
• Christine McGregor Ms FNP BC PLLC
• Christopher Schmelzle PHD Psychologist Inc

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.