Organization Active NPI

Wing Hong Chan Physiotherapy, P.C.

  • Orthopedic Physical Therapist
  • Flushing, NY
National Provider Identifier
1164061602
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Jan 1, 2020

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

Authorized official

Name
Mr. Wing Hong ChanNPI 1316151244
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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.