Individual provider Active NPI

Aditi Baweja Chandra, D.P.T.

  • Physical Therapist
  • Wayland, MA
National Provider Identifier
1891830832
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17204 Issued in MA
Practice address
524 Boston Post Rd
Wayland, MA 01778-1833
Phone
(508) 358-4900
Fax
(508) 358-3525
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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 17204 MA Primary

Addresses

Primary practice location

524 Boston Post Rd
Wayland, MA 01778-1833

Mailing address

524 Boston Post Rd
Wayland, MA 01778-1833
Phone (508) 358-4900

Other identifiers 5

IdentifierTypeStateIssuer
AA90233OtherMAHPHC
Y68711OtherMABLUE CROSS MA
498788OtherMATUFTS
00195OtherMAMEDICARE PTAN
4401395OtherMACIGNA ORTHONET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000105 MA Practitioner - Physical Therapist in Private Practice 9830294248 Practice locations: Wayland, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

524 Boston Post Rd
Wayland, MA 01778-1833
Phone (508) 358-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1891830832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781833",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781833",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWEJA CHANDRA",
        "first_name": "ADITI",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA90233",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MA",
            "identifier": "Y68711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "498788",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00195",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET",
            "identifier": "4401395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.