Active NPI
Elijah Chiang, PT, DPT
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1154877629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12299
- Practice address
- 2130 W Chandler Blvd
Chandler, AZ 85224-6137 - Phone
- (480) 363-4456
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12299 | AZ | Primary |
Addresses
Primary practice location
2130 W Chandler Blvd
Chandler, AZ 85224-6137
Mailing address
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PTEverywhere |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Movement PLLC | Current | Accepting new patients |
Locations
2130 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 363-4456
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1619859063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645228800000",
"number": "1154877629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-706-1161",
"fax_number": "480-706-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 W CHANDLER BLVD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246137",
"telephone_number": "480-363-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIANG",
"first_name": "ELIJAH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12299",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PTEverywhere",
"affiliation": "N",
"address_1": "2130 W Chandler Blvd",
"city": "Chandler",
"state": "AZ",
"country_code": "US",
"postal_code": "852246137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.