Active NPI
Michele Chiong, PT
- Physical Therapist
- Union City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT291461
- Practice address
- 4712 Finn Cove CT
Union City, CA 94587-6013 - Phone
- (510) 754-1799
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT291461 | CA | Primary |
Addresses
Primary practice location
4712 Finn Cove CT
Union City, CA 94587-6013
Mailing address
4712 Finn Cove CT
Union City, CA 94587-6013
Phone (510) 754-1799
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT291461 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRS Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
dba Ocean Physical Therapy
- Physical Therapist
- San Diego, CA
- NPI 1265478358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1710337639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 FINN COVE CT",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945876013",
"telephone_number": "510-754-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 FINN COVE CT",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945876013",
"telephone_number": "510-754-1799"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "877-390-6659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIONG",
"first_name": "MICHELE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT291461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.