CHRIS CHANTHABANDITH OTR/L
NPI 1104407915
Occupational Therapist in Fountain Hills, AZ
About Chris Chanthabandith Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRIS CHANTHABANDITH OTR/L (NPI 1104407915) is an individual occupational therapist in Fountain Hills, Arizona, licensed in Arizona (OTH-008389) and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chris Chanthabandith Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chris Chanthabandith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chandler, AZ 85248
- Reassigned Medicare billing, Arizona enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOUNTAIN HILLS, AZ 85268
FOUNTAIN HILLS, AZ 85268
FOUNTAIN HILLS, AZ 85268
FOUNTAIN HILLS, AZ 85268
FOUNTAIN HILLS, AZ 85268
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chris Chanthabandith's NPI number?
The NPI number for Chris Chanthabandith is 1104407915. It was assigned to this individual provider in the NPPES registry on April 15, 2021.
Where is Chris Chanthabandith located?
Chris Chanthabandith practices at 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268. The listed phone number is (480) 837-4565.
What is Chris Chanthabandith's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Chris Chanthabandith enrolled in Medicare?
Yes. Chris Chanthabandith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chris Chanthabandith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chris Chanthabandith reassigns Medicare benefits to Legacy Healthcare Services Inc (Chandler, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chris Chanthabandith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chris Chanthabandith was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.