Jerry Chen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12791 Issued in AZ

Practice address

2990 N Campbell Ave
Ste 220
Tucson, AZ 85719-2993

Phone

(520) 398-6670

Fax

(520) 396-4390

NPI assigned

Jan 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Better Choice Home Health LLC

  • Home Health Agency
  • Naples, FL
  • NPI 1386330504

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Action Physical Therapy, LLC

  • Physical Therapist
  • Royal Palm Beach, FL
  • NPI 1093956302
  Medicare reassignment NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Southwest Florida Mobile Therapy, Inc.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1134730799
  Medicare reassignment NPD
• Action Physical Therapy, LLC

  • Physical Therapist
  • Port Saint Lucie, FL
  • NPI 1881097640
  NPD

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1104363365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N CAMPBELL AVE",
            "address_2": "STE 220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192993",
            "telephone_number": "520-398-6670",
            "fax_number": "520-396-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sining Chen, MD
• Hao Chen, MD. PHD
• Jan L Chen, CERTIFIED SCHOOL PSY
• Jason L Chen, MD
• Jeannie H Chen, M.D.
• John ZS Chen, M.D., FAAD
• Joseph Duyuan Chen, PHARM. D.
• Judy Hall Chen, M.D.
• Kangli Chen
• Kelly Luise Chen, MA, CCC-SLP

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.