Active NPI
Kevin Chu, DPT
- Physical Therapist
- Avondale, AZ
National Provider Identifier
1235594730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11978
- Practice address
- 10721 W Indian School Rd
Avondale, AZ 85392-5636 - Phone
- (623) 772-7748
- Fax
- (623) 772-7749
- NPI assigned
- Dec 28, 2015
- Last updated
- Dec 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11978 | AZ | Primary |
Addresses
Primary practice location
10721 W Indian School Rd
Avondale, AZ 85392-5636
Mailing address
9097 E Desert Cove Ave Ste 110
Scottsdale, AZ 85260-6276
Phone (480) 551-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43474 | CA | MD | Pharmacist |
| 11978 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1235594730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606276",
"telephone_number": "480-551-4961",
"fax_number": "480-860-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 W INDIAN SCHOOL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925636",
"telephone_number": "623-772-7748",
"fax_number": "623-772-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.