Tinu Thomas Chacko, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1162450 Issued in TX

Practice address

1300 W Walnut Hill LN
Suite- 240
Irving, TX 75038-3000

Phone

(214) 492-3947

Fax

(972) 506-3007

NPI assigned

Feb 16, 2007

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

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.

• Royal Crown Healthcare Provider Incorporated

  • Physical Therapy Clinic/Center
  • Irving, TX
  • NPI 1952659724

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1740324599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN",
            "address_2": "STE 240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382928",
            "telephone_number": "972-756-9500",
            "fax_number": "972-756-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN",
            "address_2": "SUITE- 240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383000",
            "telephone_number": "214-492-3947",
            "fax_number": "972-506-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "TINU",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1162450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anali Alejandra Cervantes
• Audrey Cha, D.D.S.
• Any Chacko
• Rakesh Chacko
• Sarah Chacko
• Janet S Chamberlain, MED, LPC-S
• Brandie Chambers, APRN, CPNP-PC
• Glenda K Chambers, RN
• Bernita Gallagher Chance, RNP
• Monet Chandler

• Physical Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.