Active NPI
Jennifer Chiang Chun, DPT
- Physical Therapist
- Laguna Niguel, CA
National Provider Identifier
1467473918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34170
- Practice address
- 27882 Forbes Rd
Suite 110
Laguna Niguel, CA 92677-1267 - Phone
- (949) 364-2955
- Fax
- (949) 364-1799
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34170 | CA | Primary |
Addresses
Primary practice location
27882 Forbes Rd
Suite 110
Laguna Niguel, CA 92677-1267
Mailing address
26522 La Alameda
Suite 120
Mission Viejo, CA 92691-6330
Phone (949) 282-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT34170 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impt, Inc. | Physical Therapist | Past | Accepting new patients |
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, 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": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1467473918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26522 LA ALAMEDA",
"address_2": "SUITE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916330",
"telephone_number": "949-282-1600",
"fax_number": "949-367-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27882 FORBES RD",
"address_2": "SUITE 110",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771267",
"telephone_number": "949-364-2955",
"fax_number": "949-364-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUN",
"first_name": "JENNIFER",
"middle_name": "CHIANG",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.