Chau Phan, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

LPT30026 Issued in AZ

Practice address

3336 E Chandler Heights Rd Ste 126
Gilbert, AZ 85298

Phone

(480) 840-6125

Fax

(480) 840-6122

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Restorative Therapy Associates

  • Physical Therapy Clinic/Center
  • Lake Forest, CA
  • NPI 1023311073

  Physical Therapist

  NPD (past)
• Restorative Therapy Associates

  • Physical Therapist
  • Irvine, CA
  • NPI 1902102023
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1235114141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E CIVIC CENTER DR APT 1019",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960010",
            "telephone_number": "310-430-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85298",
            "telephone_number": "480-840-6125",
            "fax_number": "480-840-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "CHAU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27275",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT30026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Pettengill
• Stephanie Phair
• Natalie Phalen, COTA/L
• Loanne Pham
• Ngoc Phung Thi Pham
• Sarah Bao-Tran Phan, PHARMD, RPH
• Tram Phan, PHARM.D
• Amy Phariss
• Pharmacyx
• Pharmacyx

• Orthopedic Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.