MEDICARE: ELIZABETH CLAIRE CHAWNGTHU PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P24717	NC

General Provider Information

NPI Number	:	1497605562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CLAIRE CHAWNGTHU PT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	981 HIGH HOUSE RD STE 101
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-3510
Country	:	US
Telephone Number	:	919-380-7171
Fax Number	:	919-899-9792

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	05/05/2026

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