Eunju Chang, PT. DPT.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

016553 Issued in NY

Practice address

450 Mamaroneck Ave Ste 412
Harrison, NY 10528-2430

Phone

(914) 686-3116

Fax

(914) 686-3082

NPI assigned

Jul 10, 2017

Last updated

Jul 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097

  Pediatrics

  Medicare reassignment NPD
• Westchester Therapy Solutions OT PT St, PLLC

  • Early Intervention Provider Agency
  • White Plains, NY
  • NPI 1942573696
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1437671609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 RILEY RUN CT",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186718",
            "telephone_number": "914-727-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-686-3116",
            "fax_number": "914-686-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EUNJU",
        "credential": "PT. DPT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "016553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Cecere, MS ED
• Central Westchester Neuromuscular Care PC
• Andrew Richard Chadwick
• Charlotte Champigny
• Angela Chan, M.D.
• Gary Chang, PMHNP
• Priya Chavan
• Laura Margaret Chavis
• Chiropractic Associate P.C.
• Loubna Choklat

• Pediatric Physical Therapist in Harrison, NY
• Providers in Harrison, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.