Active NPI
Chandra V Sadanantham, PT
- Physical Therapist
- Monroe, NY
National Provider Identifier
1992930044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017140
- Practice address
- 14 Village Gate Way
Monroe, NY 10950-1548 - Phone
- (845) 782-0071
- Fax
- (845) 782-0071
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 017140 | NY | Primary |
Addresses
Primary practice location
14 Village Gate Way
Monroe, NY 10950-1548
Mailing address
14 Village Gate Way
Monroe, NY 10950-1548
Phone (845) 782-0071
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017140 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1992930044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 VILLAGE GATE WAY",
"city": "MONROE",
"state": "NY",
"postal_code": "109501548",
"telephone_number": "845-782-0071",
"fax_number": "845-782-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 VILLAGE GATE WAY",
"city": "MONROE",
"state": "NY",
"postal_code": "109501548",
"telephone_number": "845-782-0071",
"fax_number": "845-782-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADANANTHAM",
"first_name": "CHANDRA",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.