Active NPI
Anna-Barbara B. Churchill, MA, PT
- Physical Therapist
- Rockville Centre, NY
National Provider Identifier
1598078818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015498-1
- Practice address
- 12 Amherst CT
Rockville Centre, NY 11570-2001 - Phone
- (516) 678-3497
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 015498-1 | NY | Primary |
Addresses
Primary practice location
12 Amherst CT
Rockville Centre, NY 11570-2001
Mailing address
12 Amherst CT
Rockville Centre, NY 11570-2001
Phone (516) 678-3497
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015498-1 | NY | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1598078818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 AMHERST CT",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702001",
"telephone_number": "516-678-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 AMHERST CT",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702001",
"telephone_number": "516-678-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHILL",
"first_name": "ANNA-BARBARA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "MA, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015498-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.