Active NPI
Tanya B Chase, PTA
- Physical Therapy Assistant
- Durham, NC
National Provider Identifier
1780709600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2639
- Practice address
- 120 William Penn PLZ
Durham, NC 27704-2150 - Phone
- (919) 220-5255
- Fax
- (919) 220-6971
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 2639 | NC | Primary |
Addresses
Primary practice location
120 William Penn PLZ
Durham, NC 27704-2150
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2639 | Other | NC | NC LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | NC | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1780709600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "TANYA",
"middle_name": "B",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "2639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE NUMBER",
"identifier": "2639",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.