Individual provider Active NPI

Carlo Ponti Chan, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1346578754
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0-30011 Issued in NY
Practice address
248 W 80TH St
5TH FL
New York, NY 10024-7608
Phone
(212) 874-1550
Fax
(212) 874-1599
NPI assigned
Nov 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 0-30011 NY Primary

Addresses

Primary practice location

248 W 80TH St
5TH FL
New York, NY 10024-7608

Mailing address

207 W 79TH St
New York, NY 10024-6283
Phone (212) 874-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000146 NY Practitioner - Physical Therapist in Private Practice 4880878776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Physical Therapy, P.C.Group PAC ID 5890780837, 19 clinicians

Practice addresses (Care Compare)

118 E 28TH St
RM 208
New York, NY 10016-8443
Phone (646) 654-7835

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as individual
Quality
70.32
Improvement activities
40
Cost
78.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0-30011NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Feb 18, 2011 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Feb 18, 2011 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist Current Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

157 E 86th St
New York, NY 10028
Phone (212) 722-2424

530 Fashion Ave
Rm 908
New York, NY 10018
Phone (212) 627-0593

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

Organizations & group practices 3

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1346578754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246283",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 80TH ST",
            "address_2": "5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247608",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CARLO",
        "middle_name": "PONTI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0-30011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.