Susan Chan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23164 Issued in CA

Practice address

3571 N 1St St Ste 200
San Jose, CA 95134-2405

Phone

(408) 424-2000

NPI assigned

Oct 6, 2006

Sex

Female

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

State licenses

Practice roles

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.

• Core Physical Therapy

  • Physical Therapist
  • Campbell, CA
  • NPI 1629182720
  NPD (past)
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)
• VSP Retail Inc

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1699093278
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1699862987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342405",
            "telephone_number": "408-424-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342405",
            "telephone_number": "408-424-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Campbell Ave",
            "address_2": "Suite D36",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081004",
            "country_code": "US",
            "telephone_number": "408-379-3021",
            "fax_number": "408-379-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Chan
• Stephanie Sara Chan, O.D.
• Stephanie Yin-Man Chan, MD
• Sun-Yin Chan, M.D.
• Susan Chan
• Takkeung Kenneth Chan, RPH
• Tiffany Chan, DDS
• Tith Chan
• Tracy Chan, N.D., L.AC.
• Wai Si Chan, LMFT

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.