Theodore Chukwu, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007802 Issued in NY

Practice address

10017 23Rd Ave
East Elmhurst, NY 11369-1305

Phone

(718) 205-8100

NPI assigned

Oct 31, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1609410729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 HORACE HARDING EXPY APT 1K",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684224",
            "telephone_number": "718-685-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10017 23RD AVE",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691305",
            "telephone_number": "718-205-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "THEODORE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Choleff, D.O
• Eunah Chong, RPH
• Mohammed Chowdhury, M.D.
• Rahath Chowdhury
• Theodora Christodoulou
• Bedelyne Chuxvi
• Dania Codada, MSN, RN, PMHNP
• Brent James Cordero
• Laura Cruz, LCSW
• Erin Curran

• Physical Therapy Assistant in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.