Individual provider Active NPI

Anna Margaret Chetnik, PT, DPT, DIP. MDT

  • Physical Therapist
  • Kingston, NY
National Provider Identifier
1902140023
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035656 Issued in NY
Practice address
1300 Ulster Ave
Kingston, NY 12401-1501
Phone
(845) 481-0228
NPI assigned
Nov 15, 2012
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 035656 NY Primary

Addresses

Primary practice location

1300 Ulster Ave
Kingston, NY 12401-1501

Mailing address

219 East Dr
Hurley, NY 12443-5803
Phone (917) 334-0954

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

LicenseStateTypeSpecialty
035656NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Physical-Occupational Therapy & Sports Rehab PLLC Physical Therapist CurrentSince Nov 8, 2018 Accepting new patients
Seco Occupational Therapy PC Past Accepting new patients
Seco Physical & Occupational Therapy PLLC Physical Therapist PastSince May 1, 2015 Accepting new patients

Locations

340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139

Organizations & group practices 3

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1902140023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 EAST DR",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124435803",
            "telephone_number": "917-334-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ULSTER AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011501",
            "telephone_number": "845-481-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETNIK",
        "first_name": "ANNA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, DIP. MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.