Individual provider Active NPI

Chandrika Baskaran, PT

  • Physical Therapist
  • Wylie, TX
National Provider Identifier
1811525801
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1217629 Issued in TX
Practice address
3016 Reagenea Dr
Wylie, TX 75098-8914
Phone
(214) 546-0385
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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 1217629 TX Primary

Addresses

Primary practice location

3016 Reagenea Dr
Wylie, TX 75098-8914

Mailing address

721 TX-78
Wylie, TX 75098-8914
Phone (214) 546-0385

Other practice location 1

3016 Reagenea Dr
Wylie, TX 75098-8914
Phone (214) 546-0385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922000867 TX Practitioner - Physical Therapist in Private Practice 5193179364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

304 W FM
544 Lyndridge Senior Living
Murphy, TX 75094-4531
Phone (469) 701-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217629TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients

Locations

8100 Precinct Line Rd
Colleyville, TX 76034
Phone (682) 244-4317

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1811525801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 TX-78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988914",
            "telephone_number": "214-546-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 REAGENEA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988914",
            "telephone_number": "214-546-0385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 Reagenea Dr",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988914",
            "country_code": "US",
            "telephone_number": "214-546-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASKARAN",
        "first_name": "CHANDRIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1217629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.