Individual provider Active NPI

Daniel Titus Chen, PT, DPT

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1447999792
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302011 Issued in CA
Practice address
333 Soquel Way
Sunnyvale, CA 94085-4102
Phone
(561) 307-7443
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 302011 CA Primary

Addresses

Primary practice location

333 Soquel Way
Sunnyvale, CA 94085-4102

Mailing address

35405 Baldwin PL
Fremont, CA 94536-3306
Phone (561) 307-7443

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ29361ZOtherMC GROUP PTAN
1053320325OtherTYPE2 NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address d.chen@breakthroughpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000638 CA Practitioner - Physical Therapist in Private Practice 6901289321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

39141 Civic Ctr Dr
Suite 120
Fremont, CA 94538-5831
Phone (510) 794-9672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302011CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Outpatient Rehabilitation Center, a Joint Venture Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients

Locations

39141 Civic Center Dr
Ste 120
Fremont, CA 94538
Phone (510) 794-9672

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1447999792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35405 BALDWIN PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363306",
            "telephone_number": "561-307-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SOQUEL WAY",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854102",
            "telephone_number": "561-307-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DANIEL",
        "middle_name": "TITUS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC GROUP PTAN",
            "identifier": "ZZZ29361Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE2 NPI",
            "identifier": "1053320325",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "d.chen@breakthroughpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "333 Soquel Way",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940854102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.