Allison Chavanne, PT, DPT
Individual provider Active NPI Pediatric Physical Therapist · Broad Channel, NY
NPI 1821468166 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1821468166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 027825 (NY)
- Practice address
- 32 W 19TH Rd
Broad Channel, NY 11693-1212 - Phone
- (917) 796-3643
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 027825 | NY | Yes |
Addresses
Primary practice location
32 W 19TH Rd
Broad Channel, NY 11693-1212
Mailing address
32 W 19TH Rd
Broad Channel, NY 11693-1212
Phone (917) 796-3643
Other providers in Broad Channel, NY
- Marie Battaglia
- Demetric Bowman
- Broad Channel Volunteers Inc
- Lisa Carroll
- Marlina Chan-Fernandez
- Nicole A Fox
- Jennifer Game
- Gregory Charles Henkel
- Marianthi Koullias
- Kerry Ann Larkin
All providers in Broad Channel, NY · Pediatric Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.