Individual provider Active NPI

Ally Chae, MPT

  • Specialist
  • Ventura, CA
National Provider Identifier
1154569887
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT35256 Issued in CA
Practice address
24 E Main St
Ventura, CA 93001-2660
Phone
(805) 765-4773
Fax
(805) 392-9975
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT35256 CA Primary

Addresses

Primary practice location

24 E Main St
Ventura, CA 93001-2660

Mailing address

24 E Main St
Ventura, CA 93001-2660
Phone (805) 765-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000064 CA Practitioner - Physical Therapist in Private Practice 8628126133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Trees Physical Therapy and Wellness IncGroup PAC ID 5597915603, 58 clinicians

Practice addresses (Care Compare)

24 E Main St
Ventura, CA 93001-2660
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35256CAMDOptometrist
PT35256CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc CurrentSince Nov 8, 2024 Accepting new patients
Two Trees Physical Therapy & Wellness Inc CurrentSince Nov 8, 2024 Accepting new patients

Locations

321 N Larchmont Blvd
Ste 825
Los Angeles, CA 90004
Phone (323) 464-4458

2260 Tapo St
Simi Valley, CA 93063
Phone (805) 387-3060

24 E Main St
Ventura, CA 93001
Phone (805) 232-5882

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1154569887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012660",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012660",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "ALLY",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT35256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.