Individual provider Active NPI

Marco Antonio Chiabo, DPT,COMT,BS,CSCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1871787911
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029622 Issued in NY
Practice address
17 E 13TH St
Australian Physiotherapy
New York, NY 10003-4480
Phone
(212) 691-6303
Fax
(212) 691-6306
NPI assigned
Aug 31, 2007
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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 029622 NY Primary

Addresses

Primary practice location

17 E 13TH St
Australian Physiotherapy
New York, NY 10003-4480

Mailing address

PO Box 1244
Cutchogue, NY 11935-0883
Phone (631) 298-5367

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)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
029622NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Humble Care Physical Therapy PC Physical Therapist PastSince Aug 14, 2010 Accepting new patients
Christopher Showalter PT PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1871787911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119350883",
            "telephone_number": "631-298-5367",
            "fax_number": "631-298-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 13TH ST",
            "address_2": "AUSTRALIAN PHYSIOTHERAPY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034480",
            "telephone_number": "212-691-6303",
            "fax_number": "212-691-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIABO",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DPT,COMT,BS,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.