Jordan Chang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13215 Issued in AZ

Practice address

5690 W Chandler Blvd Ste 2
Chandler, AZ 85226

Phone

(480) 878-7425

Fax

(480) 207-1025

NPI assigned

Aug 17, 2017

Reactivated

Jan 8, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3606/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/AEDDCA

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.

• Arizona Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1265682850
  NPD (past)
• Desert Paradise Wellness Center LLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1407426380
  NPD (past)

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1609392901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263356",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 E Chandler Heights Rd",
            "address_2": "Building 5 Suite 126",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85298",
            "country_code": "US",
            "telephone_number": "480-840-6125",
            "fax_number": "480-840-6122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5690 W Chandler Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "85226",
            "country_code": "US",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JORDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-02-14",
        "deactivation_date": "2017-12-29",
        "reactivation_date": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudha Chandrasekhar, M.D., M.P.H., IBCLC
• Jahzae Cimone Chaney-Wooten, MCD, CCC-SLP
• Eileen Chang, D.O.
• Grace Chang
• John Chang, PHARMD
• Sarah Christin Chang
• Steve Won-Tze Chang, MD
• Za Chang, APRN, CRNA
• Danish Changela
• Christine Chanley, REGISTERED NURSE

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.