Individual provider Active NPI

Ronald Chung

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1497465678
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041125-01 Issued in NY
Practice address
1011 47TH Rd Apt 1F
Long Island City, NY 11101-5590
Phone
(917) 588-3320
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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 041125-01 NY Primary

Addresses

Primary practice location

1011 47TH Rd Apt 1F
Long Island City, NY 11101-5590

Mailing address

1011 47TH Rd Apt 1F
Long Island City, NY 11101-5590
Phone (917) 588-3320

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services Inc 96 clinicians
PT and OT for Senior Rehab at Home PLLC 97 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110002916 NY Practitioner - Physical Therapist in Private Practice 7517337470 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041125NYMDClinical Social Worker
041125-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1497465678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 47TH RD APT 1F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015590",
            "telephone_number": "917-588-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 47TH RD APT 1F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015590",
            "telephone_number": "917-588-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041125-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.