Individual provider Active NPI

Kathy Kai-Yee Chang

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1174319222
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22981 Issued in CA
Practice address
1811 Oak St Ste 150
Bakersfield, CA 93301-3064
Phone
(661) 241-4089
Fax
(661) 241-4089
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 22981 CA Primary

Addresses

Primary practice location

1811 Oak St Ste 150
Bakersfield, CA 93301-3064

Mailing address

1811 Oak St Ste 150
Bakersfield, CA 93301-3064
Phone (661) 241-4089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505003318 CA Practitioner - Physical Medicine and Rehabilitation 6608393574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Space Physical TherapyGroup PAC ID 6103218631, 3 clinicians

Practice addresses (Care Compare)

1811 Oak St
Suite 150
Bakersfield, CA 93301-3064
Phone (661) 241-4089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Space Physical Therapy Physical Therapist CurrentSince Apr 23, 2025 Accepting new patients

Locations

1811 Oak St
Ste 150
Bakersfield, CA 93301
Phone (661) 241-4089

7850 White Ln
Ste E172
Bakersfield, CA 93309
Phone (615) 655-3198

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1174319222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 OAK ST STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013064",
            "telephone_number": "661-241-4089",
            "fax_number": "661-365-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 OAK ST STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013064",
            "telephone_number": "661-241-4089",
            "fax_number": "661-241-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KATHY",
        "middle_name": "KAI-YEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.