Active NPI
Nancy Chan, P.T.
- Physical Therapist
- Palo Alto, CA
National Provider Identifier
1487694667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00PT88250
- Practice address
- 744 San Antonio Rd Ste 3
Palo Alto, CA 94303-4624 - Phone
- (650) 494-0991
- Fax
- (650) 494-0129
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 00PT88250 | PW | Primary |
Addresses
Primary practice location
744 San Antonio Rd Ste 3
Palo Alto, CA 94303-4624
Mailing address
744 San Antonio Rd Ste 3
Palo Alto, CA 94303-4624
Phone (650) 494-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA153 | Other | CA | MEDICARE PTAN |
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 |
|---|---|---|---|
| 00PT88250 | PW | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1487694667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 SAN ANTONIO RD STE 3",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034624",
"telephone_number": "650-494-0991",
"fax_number": "650-494-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 SAN ANTONIO RD STE 3",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034624",
"telephone_number": "650-494-0991",
"fax_number": "650-494-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PW",
"license": "00PT88250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BA153",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.