Active NPI
Jason Chan
- Neurology Physical Therapist
- Seattle, WA
National Provider Identifier
1669313391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT61595166
- Practice address
- 500 17TH Ave
Seattle, WA 98122-5711 - Phone
- (206) 320-2688
- NPI assigned
- Apr 6, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT61595166 | WA | Primary |
Addresses
Primary practice location
500 17TH Ave
Seattle, WA 98122-5711
Mailing address
500 17TH Ave
Seattle, WA 98122-5711
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 |
|---|---|---|---|
| PT61595166 | WA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1669313391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 17TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 17TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225711",
"telephone_number": "206-320-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "WA",
"license": "PT61595166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.