Individual provider Active NPI

Hung Ly Chu, PTA

  • Physical Therapy Assistant
  • Alhambra, CA
National Provider Identifier
1073214649
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
52136 Issued in CA
Practice address
716 S 9TH St
Alhambra, CA 91801-4601
Phone
(626) 979-4471
NPI assigned
Mar 13, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 52136 CA Primary

Addresses

Primary practice location

716 S 9TH St
Alhambra, CA 91801-4601

Mailing address

716 S 9TH St
Alhambra, CA 91801-4601
Phone (626) 979-4471

Other practice location 1

6080 Center Dr.
6th floor Suite # 639
Los Angeles, CA 90045
Phone (888) 859-0145

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1073214649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S 9TH ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014601",
            "telephone_number": "626-979-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S 9TH ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014601",
            "telephone_number": "626-979-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Center Dr.",
            "address_2": "6th floor Suite # 639",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90045",
            "country_code": "US",
            "telephone_number": "888-859-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "HUNG",
        "middle_name": "LY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.