Individual provider Active NPI

John Chung

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1467269324
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42221 Issued in FL
Practice address
1401 Green Rd
Deerfield Beach, FL 33064-1080
Phone
(954) 361-8274
NPI assigned
Dec 14, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 42221 FL Primary

Addresses

Primary practice location

1401 Green Rd
Deerfield Beach, FL 33064-1080

Mailing address

1401 Green Rd
Deerfield Beach, FL 33064-1080
Phone (954) 361-8274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000800 FL Practitioner - Physical Therapist in Private Practice 7214428432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6390 SE 128TH Ter
Morriston, FL 32668-3665

682 SW Gailbreath Ave
Port Saint Lucie, FL 34953-7604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42221FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC Physical Therapy Current Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Aug 22, 2025 Accepting new patients
Orthopedic Center of Palm Beach County Physical Therapy CurrentSince Aug 22, 2025 Accepting new patients

Locations

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 697-6500

Interoperability endpoints

  • Direct secure messaging: john.chung.1@26475.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1467269324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GREEN RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641080",
            "telephone_number": "954-361-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GREEN RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641080",
            "telephone_number": "954-361-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.