Active NPI
David Chessen, DPT
- Physical Therapist
- Edison, NJ
National Provider Identifier
1881060465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01693100
- Practice address
- 72 Route 27
Edison, NJ 08820-3986 - Phone
- (732) 662-9901
- Fax
- (732) 662-9904
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 09183 | LA | |
| Physical Therapist | 225100000X | 40QA01693100 | NJ | Primary |
Addresses
Primary practice location
72 Route 27
Edison, NJ 08820-3986
Mailing address
138 Hopmeadow St
Weatogue, CT 06089-9793
Phone (860) 413-2073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174173 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09183 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Every Day L.L.C | Past | Accepting new patients | |
| Recover Pro Medical & Wellness | Physical Therapist | 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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Suffield, CT
- NPI 1598958720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1881060465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 HOPMEADOW ST",
"city": "WEATOGUE",
"state": "CT",
"postal_code": "060899793",
"telephone_number": "860-413-2073",
"fax_number": "860-413-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203986",
"telephone_number": "732-662-9901",
"fax_number": "732-662-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESSEN",
"first_name": "DAVID",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09183",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01693100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174173",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.