Active NPI
Jordan R Chang, PT, DPT
- Physical Therapist
- Radford, VA
National Provider Identifier
1053662585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207623
- Practice address
- 600 E Main St Ste a
Radford, VA 24141-1826 - Phone
- (540) 663-0413
- NPI assigned
- Sep 24, 2012
- Last updated
- Sep 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207623 | VA | Primary |
Addresses
Primary practice location
600 E Main St Ste a
Radford, VA 24141-1826
Mailing address
602 Progress St NE
2
Blacksburg, VA 24060-7225
Phone (410) 599-8405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1053662585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 PROGRESS ST NE",
"address_2": "2",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607225",
"telephone_number": "410-599-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E MAIN ST STE A",
"city": "RADFORD",
"state": "VA",
"postal_code": "241411826",
"telephone_number": "540-663-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JORDAN",
"middle_name": "R",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radford, VA
- Elizabeth Anne Campbell, RN
- Carilion New River Valley Medical Center (Carilion Clinic Home Care - New River Valley)
- Carilion New River Valley Medical Center (Carilion Clinic Hospice)
- Melissa Ann Carrico
- Casey Ferguson LPC Inc
- Lauren Elizabeth Chapman, RN
- Rebecca Dee Chapman, OTRL
- Child Adolescent Health Associates of the New River Valley PC (New River Valley Pediatrics)
- Choice Ride LLC
- Sudhendu Choubey, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.