Active NPI
Pankaj Chidwal, BPT, MSPT
- Orthopedic Physical Therapist
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 007966
- Practice address
- 41 Germantown Rd
Suite B-02
Danbury, CT 06810-4087 - Phone
- (203) 207-3332
- NPI assigned
- Aug 22, 2007
- Last updated
- Aug 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 007966 | CT | Primary |
Addresses
Primary practice location
41 Germantown Rd
Suite B-02
Danbury, CT 06810-4087
Mailing address
503 Piedmont St
Waterbury, CT 06706-2100
Phone (203) 848-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007966 | CT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Orthopedic | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Orthopedic | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (866) 959-2846
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
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": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1942493069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PIEDMONT ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067062100",
"telephone_number": "203-848-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 GERMANTOWN RD",
"address_2": "SUITE B-02",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104087",
"telephone_number": "203-207-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDWAL",
"first_name": "PANKAJ",
"name_prefix": "Mr.",
"credential": "BPT, MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "007966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.