Active NPI
Ho Chin An, MPT
- Physical Therapist
- Woodinville, WA
National Provider Identifier
1386744480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9040
- Practice address
- 17618 140TH Ave NE
Woodinville, WA 98072-6800 - Phone
- (425) 402-9772
- Fax
- (425) 402-9443
- NPI assigned
- Sep 25, 2006
- Last updated
- Jan 15, 2014
- 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 | PT9040 | WA | Primary |
Addresses
Primary practice location
17618 140TH Ave NE
Woodinville, WA 98072-6800
Mailing address
17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone (425) 402-9772
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 |
|---|---|---|---|
| PT9040 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1386744480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17618 140TH AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980726800",
"telephone_number": "425-402-9772",
"fax_number": "425-402-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17618 140TH AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980726800",
"telephone_number": "425-402-9772",
"fax_number": "425-402-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "HO CHIN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT9040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.