Andres Chacon
NPI 1366074148ActiveIndividual· Physical Therapist· Lyndhurst, NJ
Physical Therapist in Lyndhurst, New Jersey, licensed in NJ, with an NPI issued in February 2020. Medicare paid $8,149 for services to 19 patients in 2024.
Overview
| NPI | 1366074148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Feb 10, 2020 |
| Certified by provider | Feb 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01903000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 404 across 10 procedure codes |
| Paid by Medicare | $8,149 |
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