Chethan Kumar Akkur Channe Gowda, PT, DPT, CEEAA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207420 Issued in VA

Practice address

4403 Forest Hill Ave
Richmond, VA 23225-3241

Phone

(804) 231-0231

NPI assigned

Mar 17, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102

  VA

  Medicare reassignment

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1912390774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232253241",
            "telephone_number": "804-231-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232253241",
            "telephone_number": "804-231-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKUR CHANNE GOWDA",
        "first_name": "CHETHAN KUMAR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CEEAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Akers
• Amir Akhavanrezayat, MD
• Tola Oluwafunke Akinbobola
• Yaa Akinfolajimi
• Jtaijah Akins, BCBA, LBA
• Amman Akram, MD
• Javed Akram, M.D.
• Meghan Akridge, PHARMD
• Kwame Asanta Akuamoah-Boateng, NP
• Michael Akyeampong, A.C.N.P

• Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.