Individual provider Active NPI

Hank Jonathan Chinn Jr., MPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1225091101
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23647 Issued in CA
Practice address
4010 Orange Ave
Long Beach, CA 90807-2374
Phone
(562) 428-3556
Fax
(562) 428-3621
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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 23647 CA Primary

Addresses

Primary practice location

4010 Orange Ave
Long Beach, CA 90807-2374

Mailing address

4010 Orange Ave
Long Beach, CA 90807-3717
Phone (562) 428-3556

Other identifiers 2

IdentifierTypeStateIssuer
WPT23647AOtherCAPPIN
ZZZ08588ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000899 CA Practitioner - Physical Therapist in Private Practice 1557351772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Western University of Health Sciences College of Dental Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcessity Inc.Group PAC ID 6204826415, 9 clinicians

Practice addresses (Care Compare)

4010 Orange Ave
Long Beach, CA 90807-3717
Phone (562) 428-3556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23647CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcessity Inc. Physical Therapist CurrentSince Jun 1, 2004 Accepting new patients

Locations

4010 Orange Ave
Long Beach, CA 90807
Phone (562) 292-6116

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1225091101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-428-3556",
            "fax_number": "562-428-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072374",
            "telephone_number": "562-428-3556",
            "fax_number": "562-428-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "HANK",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT23647A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08588Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.