Harold Henroe Pan, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292842 Issued in CA

Practice address

1026 E Chapman Ave Ste B
Orange, CA 92866-2151

Phone

(714) 538-1952

Fax

(714) 538-1490

NPI assigned

Mar 28, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physical Therapy IncGroup PAC ID 2668577180, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fusion Physical Therapy Inc

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1437211919
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1558893784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662151",
            "telephone_number": "714-538-1952",
            "fax_number": "714-538-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662151",
            "telephone_number": "714-538-1952",
            "fax_number": "714-538-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Dr Mlk Blvd",
            "address_2": "Ste. 500",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076235",
            "country_code": "US",
            "telephone_number": "813-371-5189",
            "fax_number": "877-869-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "HAROLD",
        "middle_name": "HENROE",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Palting
• Bo-Chih Pan, MD
• Caleb Pan
• Chuan-Ju Gwendolyn Pan, M.D.
• David Pan, M.D., FACC
• Vincent Pan, DO
• Yuxin Pan
• Sophocles N Panagon, MD
• Dineen Panattoni, M.A., L.M.F.T.
• Bahman Panbehi, MD

• Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.