Jacon C Chun, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT24266 Issued in CA

Practice address

2520 Rifleman CV
Leander, TX 78641-3492

Phone

(510) 393-7750

NPI assigned

Sep 26, 2006

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

Other names 1

• Mr. Jacon CHI-Keen Chun Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656

  Sports

  Medicare reassignment NPD
• Texas Physical Therapy Specialists, Inc.

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338

  Sports

  Medicare reassignment NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD
• Club Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1811092406

  Sports

  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1699876250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 RIFLEMAN CV",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413492",
            "telephone_number": "510-393-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 RIFLEMAN CV",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413492",
            "telephone_number": "510-393-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JACON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT24266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACON",
            "last_name": "CHUN",
            "middle_name": "CHI-KEEN",
            "prefix": "MR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charitha Chowdanahalli Yashavanth
• Sonia Rita Chowdhury
• Bethany Blaze Christensen
• Christopher D. Collins, MD, PA
• Fiona Shui Ting Chu
• Meilyn Cisneros
• Rogelio Cisneros
• City Transport Services, Inc
• Cmhernandez LLC
• Colburn Chiropractic PLLC

• Sports Physical Therapist in Leander, TX
• Providers in Leander, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.