Individual provider Active NPI

John Manuel Chan Noceda, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124068648
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026286 Issued in NY
Practice address
55 E 124TH St
New York, NY 10035-1815
Phone
(212) 410-8090
Fax
(212) 410-8403
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 026286 NY Primary

Addresses

Primary practice location

55 E 124TH St
New York, NY 10035-1815

Mailing address

5535 Netherland Ave
Apartment 3G
Bronx, NY 10471-2341
Phone (914) 886-8794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060630000242 NY Practitioner - Physical Therapist in Private Practice 5092727305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors United, IncGroup PAC ID 1153212162, 25 clinicians

Practice addresses (Care Compare)

340 S Broadway
Yonkers, NY 10705-2049
Phone (914) 968-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026286NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors United, Inc CurrentSince Jan 20, 2019 Accepting new patients
Bay Wellness Program PT, PLLC Physical Therapist Past Accepting new patients

Locations

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124068648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 NETHERLAND AVE",
            "address_2": "APARTMENT 3G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712341",
            "telephone_number": "914-886-8794",
            "fax_number": "347-427-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351815",
            "telephone_number": "212-410-8090",
            "fax_number": "212-410-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCEDA",
        "first_name": "JOHN MANUEL",
        "middle_name": "CHAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026286",
            "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 Jul 13, 2026; 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.