Changfish Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHANGFISH THERAPY INC.

Doing business as

FYZICAL Therapy & Balance Centers

Practice address

2160 N Central Rd Ste 103
Fort Lee, NJ 07024-7547

Phone

(845) 367-1369

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

David Chang

Title

Owner

Phone

(845) 367-1369

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy & Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shylaja Pezhumkattil Vijayasarma

  • Physical Therapist
  • New York, NY
  • NPI 1518451806

  NJ

  Medicare reassignment NPD
• Phillip Chen, PT, DPT

  • Physical Therapist
  • Hamilton, NJ
  • NPI 1134857857
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1629796990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 RIVER RD APT 1114",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476379",
            "telephone_number": "845-367-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 N CENTRAL RD STE 103",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247547",
            "telephone_number": "845-367-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGFISH THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-367-1369"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champion Health Plus CHCS LLC
• Champion Healthplus LLC (1st COMMUNITY HOMECARE SERVICE)
• Championhealth Plus Community Home Healthcare Service, LLC (Championhealth Plus Chhcs)
• Cecilia Chan, NP
• Grace Chang, R.D.
• Vallretta Chapman Wilson, RB
• Lisa Chen
• Eunji Cho
• John Cho, LPC, LMHC
• Nam Jun Cho

• Physical Therapy Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.