Active NPI
Elvia Kachenchai, PTA A3362
- Physical Therapy Assistant
- Frederick, MD
National Provider Identifier
1972736536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3362
- Practice address
- 6441 Jefferson Pike
Frederick, MD 21703-7039 - Phone
- (301) 620-0236
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3362 | MD | Primary |
Addresses
Primary practice location
6441 Jefferson Pike
Frederick, MD 21703-7039
Mailing address
2222 W Greenleaf Dr
Frederick, MD 21702-2625
Phone (240) 575-9305
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3362 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1972736536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W GREENLEAF DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022625",
"telephone_number": "240-575-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6441 JEFFERSON PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037039",
"telephone_number": "301-620-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHENCHAI",
"first_name": "ELVIA",
"name_prefix": "Mrs.",
"credential": "PTA A3362",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Just Try Counseling LLC
- Justice Jobs of Maryland Inc
- D Benee Justice, LPC, CST
- K&P Enterprises (Revive & Thrive Treatment Centers)
- Deborah Lynn Kaas, M.S. CCC/SLP
- Madeline Kaempfer, OTR/L
- Mary M Kahl, LCPC
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Frederick Medical Center Pharmacy)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.