Individual provider Active NPI

Yi Ju Chen, D.P.T.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1033589031
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25680 Issued in MD
Practice address
1201 Seven Locks Road
Suite 212
Rockville, MD 20854
Phone
(301) 217-0515
Fax
(301) 217-0585
NPI assigned
Oct 2, 2015
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25680 MD Primary

Addresses

Primary practice location

1201 Seven Locks Road
Suite 212
Rockville, MD 20854

Mailing address

1201 Seven Locks Road
Suite 212
Rockville, MD 20854
Phone (301) 217-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001332 WA Practitioner - Physical Therapist in Private Practice 2769784867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11721 NE 117TH CT
Apt 315
Kirkland, WA 98034-5206

12951 NE Bel Red Rd
Suite 100
Bellevue, WA 98005-2628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25680MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Physical Therapy Current Accepting new patients
Elements Fitness and Wellness Center LLC Past Accepting new patients
Synergy Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1033589031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS ROAD",
            "address_2": "SUITE 212",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-217-0515",
            "fax_number": "301-217-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS ROAD",
            "address_2": "SUITE 212",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-217-0515",
            "fax_number": "301-217-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YI JU",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.