Individual provider Active NPI

Kwan-Wen Chen

  • Physical Therapist
  • City of Industry, CA
National Provider Identifier
1356119762
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306506 Issued in CA
Practice address
18633 Gale Ave Ste 102
City of Industry, CA 91748-1343
Phone
(626) 269-0991
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306506 CA Primary
Physical Therapist 225100000X 050230 NY

Addresses

Primary practice location

18633 Gale Ave Ste 102
City of Industry, CA 91748-1343

Mailing address

18633 Gale Ave Ste 103
City of Industry, CA 91748-1343
Phone (347) 209-7636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920003051 CA Practitioner - Physical Therapist in Private Practice 5395286066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hsueh-Shan Physical Therapy CorporationGroup PAC ID 2163831710, 3 clinicians

Practice addresses (Care Compare)

18633 Gale Ave
Suite 102
City of Industry, CA 91748-1343
Phone (626) 269-0991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050230NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsueh-Shan Physical Therapy Corporation Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients

Locations

320 S Garfield Ave
Ste 302
Alhambra, CA 91801
Phone (626) 269-0991

18633 Gale Ave
Ste 102
City of Industry, CA 91748
Phone (626) 269-0991

18633 Gale Ave
Ste 103
City of Industry, CA 91748

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1356119762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 GALE AVE STE 103",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481343",
            "telephone_number": "347-209-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 GALE AVE STE 102",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481343",
            "telephone_number": "626-269-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KWAN-WEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306506",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.