Active NPI
Jason K. Chang, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1710054259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009826
- Practice address
- 1959 NE Pacific St
Box 356490
Seattle, WA 98195-0001 - Phone
- (206) 598-4830
- Fax
- (206) 598-4897
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT00009826 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 356490
Seattle, WA 98195-0001
Mailing address
PO Box 24366
Seattle, WA 98124-0366
Phone (206) 598-0502
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 |
|---|---|---|---|
| PT00009826 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1710054259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24366",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240366",
"telephone_number": "206-598-0502",
"fax_number": "206-598-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 356490",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-4830",
"fax_number": "206-598-4897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JASON",
"middle_name": "K.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009826",
"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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.