Individual
ALEXIS VILLANUEVA CHAVENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
026027A
NY
225100000X
Physical Therapist
Primary
05008117A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026027A
PROFESSIONAL LICENSE
NY
01
—
05008117A
PROFESSIONAL LICENSE
IN
Enumeration date
03/07/2007
Last updated
07/27/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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