Chungdam Physical Therapy & Rehabilitation, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

032265 Issued in NY

Legal business name

CHUNGDAM PHYSICAL THERAPY & REHABILITATION, P.C.

Practice address

315 5TH Ave RM 1001
New York, NY 10016-6510

Phone

(212) 685-1004

Fax

(212) 685-1007

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Young Jin ChangNPI 1780974543

Title

President

Phone

(212) 685-1004

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Jin Chang, D.P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1780974543
  NPD Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1457698250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166510",
            "telephone_number": "212-685-1004",
            "fax_number": "212-685-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166510",
            "telephone_number": "212-685-1004",
            "fax_number": "212-685-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNGDAM PHYSICAL THERAPY & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YOUNG JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-685-1004"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "254812",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "032265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Xiyao Chung, MD
• Wilson Chung, D.O
• Wing Yee Chung, LCSW
• Yerin Chung
• Ying -Ying Chung, LMSW
• Chungdam Wellness Group,Inc
• Chungfai Tung M.D. P.C.
• Chunhua Acupuncture PC
• Nataliya Chupa, OTR/L
• Deveika Churaman, RN

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.