Organization Active NPI

Denise Chyette, Physical Therapist, Inc.

  • Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1801072319
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32009 Issued in CA
Legal business name
DENISE CHYETTE, PHYSICAL THERAPIST, INC.
Practice address
1800 N Sepulveda Blvd # 200
Manhattan Beach, CA 90266-2902
Phone
(310) 750-5216
Fax
(310) 882-6426
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Ms. Denise Chyette, DPT
Title
Owner
Phone
(310) 750-5216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 32009 CA Primary

Addresses

Primary practice location

1800 N Sepulveda Blvd # 200
Manhattan Beach, CA 90266-2902

Mailing address

1800 N Sepulveda Blvd # 200
Manhattan Beach, CA 90266-2902
Phone (310) 750-5216

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address denise@thewellnessbank.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000297 CA Part B Supplier - Clinic/Group Practice 2365527165 Receives reassigned benefits from 2 practitioners
Practice locations: Manhattan Beach, CA

National Provider Directory

National Provider Directory

Locations

1800 N Sepulveda Blvd
#200
Manhattan Beach, CA 90266
Phone (310) 750-5216

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1801072319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N SEPULVEDA BLVD # 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662902",
            "telephone_number": "310-750-5216",
            "fax_number": "310-882-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N SEPULVEDA BLVD # 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662902",
            "telephone_number": "310-750-5216",
            "fax_number": "310-882-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE CHYETTE, PHYSICAL THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "CHYETTE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-750-5216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise@thewellnessbank.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1800 N Sepulveda Blvd # 200",
            "city": "Manhattan Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902662902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.