Active NPI
Wing Hong Chan Physiotherapy, P.C.
- Orthopedic Physical Therapist
- Flushing, NY
National Provider Identifier
1164061602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- WING HONG CHAN PHYSIOTHERAPY, P.C.
- Practice address
- 3901 Main St Ste 509
Flushing, NY 11354-5433 - Phone
- (917) 908-0207
- Fax
- (917) 908-0205
- NPI assigned
- Jan 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wing Hong Chan
- Title
- Ceo
- Phone
- (917) 908-0207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
3901 Main St Ste 509
Flushing, NY 11354-5433
Mailing address
3901 Main St Ste 509
Flushing, NY 11354-5433
Phone (917) 908-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305000787 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7214343805 |
Receives reassigned benefits from 1 practitioner Practice locations: Flushing, NY |
National Provider Directory
National Provider DirectoryLocations
3901 Main St
Ste 509
Flushing, NY 11354
Phone (718) 461-9311
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577836800000",
"number": "1164061602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 MAIN ST STE 509",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545433",
"telephone_number": "917-908-0207",
"fax_number": "917-908-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MAIN ST STE 509",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545433",
"telephone_number": "917-908-0207",
"fax_number": "917-908-0205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WING HONG CHAN PHYSIOTHERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-01",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "WING HONG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-908-0207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.