Chung Bii R Jenq, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15388 Issued in CA

Practice address

22512 N Summit Ridge Cir
Chatsworth, CA 91311-2672

Phone

(818) 300-4190

Fax

(818) 349-5230

NPI assigned

Aug 11, 2009

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

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.

• MW Rehab Center Inc.

  • Physical Therapist
  • San Gabriel, CA
  • NPI 1427280312
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1720210602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22512 N SUMMIT RIDGE CIR",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112672",
            "telephone_number": "818-300-4190",
            "fax_number": "818-349-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22512 N SUMMIT RIDGE CIR",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112672",
            "telephone_number": "818-300-4190",
            "fax_number": "818-349-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENQ",
        "first_name": "CHUNG BII",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Jacobson
• Hector Earl Jacutin
• Heather Jarvis
• Susana Jasso, BCBA
• Jenkins Home Healthcare, Inc.
• Jim D. Fermo PHD
• Jim D. Fermo, PH.D., Inc.
• JJ Palms Inc. Dba Royal Palms
• JJ Palms Inc. Dba Twin Palms
• JJ Sle

• Physical Therapist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.