Individual provider Active NPI

Chani Chowdhary, PT

  • Physical Therapist
  • Roxbury, MA
National Provider Identifier
1619388931
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20784 Issued in MA
Practice address
62 Warren St
Roxbury, MA 02119-3253
Phone
(617) 442-0111
Fax
(617) 442-0110
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 20784 MA Primary

Addresses

Primary practice location

62 Warren St
Roxbury, MA 02119-3253

Mailing address

62 Warren St
Roxbury, MA 02119-3253
Phone (617) 442-0111

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

State licenses

LicenseStateTypeSpecialty
20784MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood Orthopedic Rehab Center, Inc. Physical Therapist Past Accepting new patients
Atlantis Physical Therapy Group,Inc, Physical Therapist PastSince Feb 18, 2005 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1619388931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193253",
            "telephone_number": "617-442-0111",
            "fax_number": "617-442-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193253",
            "telephone_number": "617-442-0111",
            "fax_number": "617-442-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHARY",
        "first_name": "CHANI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.