Individual provider Active NPI

Maitreyee Chaukulkar

  • Physical Therapist
  • North Chesterfield, VA
National Provider Identifier
1598574642
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
620 Moorefield Park Dr Ste 112
North Chesterfield, VA 23236-3692
Phone
(920) 918-2880
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206247 VA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

620 Moorefield Park Dr Ste 112
North Chesterfield, VA 23236-3692

Mailing address

1301 W Main St Apt a
Richmond, VA 23220-4832
Phone (920) 918-2880

Other practice location 1

7225 Bell Creek Rd Ste 256A
Mechanicsville, VA 23111-3503
Phone (804) 486-6868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219002337 VA Practitioner - Physical Therapist in Private Practice 0648790733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

7225 Bell Creek Rd
Suite 256a
Mechanicsville, VA 23111-3503
Phone (804) 486-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206247VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

7225 Bell Creek Rd
Ste 256A
Mechanicsville, VA 23111
Phone (804) 486-6868

5901 W Broad St
Ste 203
Richmond, VA 23230
Phone (804) 533-7577

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1598574642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W MAIN ST APT A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204832",
            "telephone_number": "920-918-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MOOREFIELD PARK DR STE 112",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363692",
            "telephone_number": "920-918-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 Bell Creek Rd Ste 256A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231113503",
            "country_code": "US",
            "telephone_number": "804-486-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUKULKAR",
        "first_name": "MAITREYEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206247",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.