LIJU CHACKO (NPI# 1780948638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780948638 |
| Entity Type | Individual |
| Full Name | LIJU CHACKO |
| Credential | CRT |
| Practice Address |
313 Par Dr Philadelphia PA 19115-1018 |
| Practice Telephone | 2675491171 |
| Mailing Telephone | 2675491171 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278G1100X |
Respiratory Therapist, Certified Specialization: General Care |
YM013705 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
313 PAR DR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 2278G1100X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | General Care |
| This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903850 | Rashan Williams | Respiratory Therapist, Certified | 1953 Pratt St, Philadelphia, PA 19124-2134 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265737019 | Anthony Francis Mullen | Respiratory Therapist, Certified | Rr 5 Box 5195, Mja Healthcare, East Stroudsburg, PA 18301-9209 | 2011-01-25 |
| 1487785192 | Kathleen Nicholson | Respiratory Therapist, Certified | 638 Hill Church Rd, Hummelstown, PA 17036-8557 | 2007-03-07 |
| 1346208808 | David Thomas Streck | Respiratory Therapist, Certified | 1900 S Lincoln Ave, Lebanon, PA 17042-8879 | 2006-05-03 |
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on LIJU CHACKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.