Active NPI
Kuai-Hua Chiang, D.P.T
- Physical Therapist
- Bayside, NY
National Provider Identifier
1467534610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022858
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201017900033 | Other | NY | AFFINITY |
| CA1006250206 | Other | AFFINITY HEALTH PLAN | |
| 03320192 | Other | NY | MEDICAID |
| 7794772 | Other | NY | AETNA |
| 133668362 | Other | NY | EVECARE/UHC |
| SEIU136172 | Other | NY | 1199 SEIU |
| 03320192 | Medicaid | NY | |
| 9461166 | Other | NY | PHCS |
| 836132 | Other | NY | THE EMPIRE PLAN |
| Q96N32 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022858 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atom Physical Therapy PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Bayside, NY
- NPI 1013314004
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.