Individual provider Active NPI

Fanny Chan, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1093345985
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044595 Issued in NY
Practice address
333 E 56TH St
New York, NY 10022-3758
Phone
(212) 317-1600
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 044595 NY Primary

Addresses

Primary practice location

333 E 56TH St
New York, NY 10022-3758

Mailing address

2072 Ford St
Brooklyn, NY 11229-4024
Phone (347) 245-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000413 NY Practitioner - Physical Therapist in Private Practice 5193151488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Handd Dynamic Physical and Occupational Therapy, PLLCGroup PAC ID 7416132634, 45 clinicians
Handd Physical Therapy and Occupational Therapy PLLCGroup PAC ID 7416848973, 41 clinicians

Practice addresses (Care Compare)

62 E 88TH St
Lowr Level
New York, NY 10128-1151
Phone (212) 988-2501

815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (212) 499-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic Chiropractic & Physical Therapy, PLLC. Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Sutton Place Physical Therapy PC Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Physio Logic Medicine, P.C. CurrentSince Jun 1, 2022 Accepting new patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000

333 E 56th St
Ofc 1
New York, NY 10022
Phone (212) 289-3236

333 E 56th St
New York, NY 10022
Phone (212) 308-2540

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200

62 E 88th St
New York, NY 10128
Phone (212) 427-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1093345985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 FORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294024",
            "telephone_number": "347-245-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223758",
            "telephone_number": "212-317-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "FANNY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.