```javascript
import { Client, Account } from "appwrite";

const client = new Client()
    .setEndpoint('https://<REGION>.cloud.appwrite.io/v1') // Your API Endpoint
    .setProject('<YOUR_PROJECT_ID>'); // Your project ID

const account = new Account(client);

const result = await account.createPushTarget({
    targetId: '<TARGET_ID>',
    identifier: '<IDENTIFIER>',
    providerId: '<PROVIDER_ID>' // optional
});

console.log(result);
```