Individual provider Active NPI

Timothy Chung, D.P.T.

  • Physical Therapist
  • Searcy, AR
National Provider Identifier
1356674998
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3187 Issued in AR
Practice address
2921 Hawkins Dr
Searcy, AR 72143-4801
Phone
(501) 268-2513
NPI assigned
Sep 15, 2009
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 3187 AR Primary

Addresses

Primary practice location

2921 Hawkins Dr
Searcy, AR 72143-4801

Mailing address

2921 Hawkins Dr
Searcy, AR 72143-4801
Phone (501) 268-2513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000729 AR Practitioner - Physical Therapist in Private Practice 9638215049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Paul Abraham PT PAGroup PAC ID 9739108739, 15 clinicians

Practice addresses (Care Compare)

801 W Beebe Capps Expy
Searcy, AR 72143-6353
Phone (501) 268-2513

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as individual
Quality
99.09
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3187ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Paul Abraham PT PA Physical Therapist CurrentSince Sep 15, 2009 Accepting new patients
Stephen a. Joseph, P.T. P.a. Physical Therapist Past Accepting new patients

Locations

1108 Highway 11 N
Ste B
Des Arc, AR 72040
Phone (870) 256-1555

3501 Carriage Hill Dr
#A
Paragould, AR 72450
Phone (870) 565-4770

801 W Beebe Capps Expy
Searcy, AR 72143
Phone (501) 268-2513

801 W Beebe Capps Expy
#P
Searcy, AR 72143
Phone (501) 268-2513

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1356674998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434801",
            "telephone_number": "501-268-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434801",
            "telephone_number": "501-268-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.