Individual provider Active NPI

I-Chun Chen, DPT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1396293619
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292026 Issued in CA
Practice address
1463 Treat Blvd
Apt 1234
Walnut Creek, CA 94597-7513
Phone
(310) 406-5864
NPI assigned
Sep 15, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL 0013581 CO
Physical Therapist 225100000X 1266381 TX
Physical Therapist 225100000X 070021878 IL
Physical Therapist 225100000X 292026 CA Primary

Addresses

Primary practice location

1463 Treat Blvd
Apt 1234
Walnut Creek, CA 94597-7513

Mailing address

1600 Dove St
Ste 100
Newport Beach, CA 92660-2438
Phone (989) 424-6300

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

LicenseStateTypeSpecialty
292026CAMDPhysical Therapist
PTL 0013581COMDPhysical Therapist
070021878ILMDPhysical Therapist
1266381TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1396293619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST",
            "address_2": "STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602438",
            "telephone_number": "989-424-6300",
            "fax_number": "989-424-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 TREAT BLVD",
            "address_2": "APT 1234",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977513",
            "telephone_number": "310-406-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "I-CHUN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL 0013581",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1266381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021878",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.