Jonathan Chang
Individual provider Active NPI Physical Therapy Assistant · Pasadena, CA
NPI 1508464017 · NPPES record last updated Oct 16, 2020
Key facts
- NPI
- 1508464017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 360 N Arroyo Blvd
Pasadena, CA 91103-3201 - Phone
- (626) 564-0330
- NPI assigned
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Bowl Aquatics Center | Current |
Accepting new patients |
Locations
360 N Arroyo Blvd
Pasadena, CA 91103
Phone 6265608019425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
360 N Arroyo Blvd
Pasadena, CA 91103-3201
Mailing address
360 N Arroyo Blvd
Pasadena, CA 91103-3201
Other providers in Pasadena, CA
- Ivy Mindy Chang
- James Juan Chang
- Jennie J Chang
- Jennifer Chang
- Jessica Chang
- Kyle H Chang
- Lawrence W Chang
- Luke Hyaryul Chang
- Paul Chang
- Rachel Chang
All providers in Pasadena, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.