Individual provider Active NPI

Kuai-Hua Chiang, D.P.T

  • Physical Therapist
  • Bayside, NY
National Provider Identifier
1467534610
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022858 Issued in NY
Practice address
21008 Northern Blvd
Ste #1
Bayside, NY 11361-3211
Phone
(347) 408-4911
Fax
(347) 836-8098
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

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 022858 NY Primary

Addresses

Primary practice location

21008 Northern Blvd
Ste #1
Bayside, NY 11361-3211

Mailing address

210-08 Northern Blvd
Ste 1
Bayside, NY 11361-3050
Phone (347) 408-4911

Other practice location 1

53 Elizabeth St # 3A
New York, NY 10013-4617
Phone (212) 966-9818

Other identifiers 10

IdentifierTypeStateIssuer
201017900033OtherNYAFFINITY
CA1006250206OtherAFFINITY HEALTH PLAN
03320192OtherNYMEDICAID
7794772OtherNYAETNA
133668362OtherNYEVECARE/UHC
SEIU136172OtherNY1199 SEIU
03320192MedicaidNY
9461166OtherNYPHCS
836132OtherNYTHE EMPIRE PLAN
Q96N32OtherNYEMPIRE BLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000116 NY Practitioner - Physical Therapist in Private Practice 0143368829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21008 Northern Blvd
Suite 1
Bayside, NY 11361-3211
Phone (347) 408-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022858NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atom Physical Therapy PC Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients

Locations

21008 Northern Blvd
Ste 1
Bayside, NY 11361
Phone (347) 408-4911

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1467534610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210-08 NORTHERN BLVD",
            "address_2": "STE 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613050",
            "telephone_number": "347-408-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21008 NORTHERN BLVD",
            "address_2": "STE #1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613211",
            "telephone_number": "347-408-4911",
            "fax_number": "347-836-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Elizabeth St # 3A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134617",
            "country_code": "US",
            "telephone_number": "212-966-9818",
            "fax_number": "212-966-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "KUAI-HUA",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "201017900033",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "CA1006250206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "03320192",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7794772",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVECARE/UHC",
            "identifier": "133668362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 SEIU",
            "identifier": "SEIU136172",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03320192",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9461166",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE EMPIRE PLAN",
            "identifier": "836132",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "Q96N32",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.