Active NPI
Adeline Chan, D.P.T.
- Physical Therapist
- Shoreline, WA
National Provider Identifier
1619416369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.60469955
- Practice address
- 1250 NE 145TH St
Shoreline, WA 98155-7134 - Phone
- (206) 363-5856
- Fax
- (206) 365-0568
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.60469955 | WA | Primary |
Addresses
Primary practice location
1250 NE 145TH St
Shoreline, WA 98155-7134
Mailing address
8126 Roosevelt Way NE
Seattle, WA 98115-4228
Phone (206) 963-9388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.60469955 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1619416369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8126 ROOSEVELT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154228",
"telephone_number": "206-963-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 NE 145TH ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557134",
"telephone_number": "206-363-5856",
"fax_number": "206-365-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ADELINE",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.60469955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.