NPIMap

Individual provider Active NPI

Nichole Shan Chala, PT

  • Physical Therapist
  • Lufkin, TX
National Provider Identifier
1821709007
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1201380 Issued in TX
Practice address
521 N Brentwood
Lufkin, TX 75904-7124
Phone
(936) 632-2639
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 1201380 TX Primary

Addresses

Primary practice location

521 N Brentwood
Lufkin, TX 75904-7124

Mailing address

713 Pine Valley Dr
Lufkin, TX 75901-7498
Phone (936) 208-7003

Other names 1

  • Nichole Shan Parker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nichole.chala@woodlandheights.net Direct

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

LicenseStateTypeSpecialty
1201380TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc PastSince Dec 13, 2022 Accepting new patients
Piney Woods Healthcare System LP PastSince Dec 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nichole.chala@woodlandheights.net

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1821709007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 PINE VALLEY DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017498",
            "telephone_number": "936-208-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BRENTWOOD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047124",
            "telephone_number": "936-632-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALA",
        "first_name": "NICHOLE",
        "middle_name": "SHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nichole.chala@woodlandheights.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "521 N Brentwood",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759047124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "PARKER",
            "middle_name": "SHAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.