Individual provider Active NPI

Ling Chang

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1609043983
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015319 Issued in PA
Practice address
1004 W 9TH Ave
King of Prussia, PA 19406-1205
Phone
(610) 265-5305
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015319 PA Primary
Physical Therapist 225100000X 40QA01057100 NJ

Addresses

Primary practice location

1004 W 9TH Ave
King of Prussia, PA 19406-1205

Mailing address

1004 W 9TH Ave
King of Prussia, PA 19406-1205
Phone (610) 265-5305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000359 PA Practitioner - Physical Therapist in Private Practice 5991876823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 W 9TH Ave
Suite 100
King of Prussia, PA 19406-1217
Phone (610) 265-5305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01057100NJMDPhysical Therapist
PT015319PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance and Vestibular Center of King of Prussia LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients

Locations

1004 W 9th Ave
King of Prussia, PA 19406
Phone (610) 265-5305

1004 W 9th Ave
Ste 100
Kng of Prussa, PA 19406
Phone (610) 265-5305

Interoperability endpoints

  • Direct secure messaging: ling.chang.1@16086.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1609043983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 9TH AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061205",
            "telephone_number": "610-265-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 9TH AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061205",
            "telephone_number": "610-265-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015319",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01057100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.