Matthew Chang

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11932R Issued in LA

Practice address

5000 Forsythe Byp Ste 110
Monroe, LA 71201-2168

Phone

(318) 322-7050

NPI assigned

Aug 9, 2023

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Parish Therapy Center, LLCGroup PAC ID 8022048867, 26 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Parish Therapy Center LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Ruston, LA
  • NPI 1891794491
  Medicare reassignment Care Compare group NPD
• Jesse L Wied PT Physical Therapy Clinic Inc

  dba Wied Physical Therapy

  • Physical Therapist
  • Monroe, LA
  • NPI 1538101902
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1720761430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 HAVEN MEADOWS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963753",
            "telephone_number": "183-248-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FORSYTHE BYP STE 110",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012168",
            "telephone_number": "318-322-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18648 McKay Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773385723",
            "country_code": "US",
            "telephone_number": "281-540-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1379577",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11932R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champs Transportation LLC
• Steffani McKinely Chance, NP
• Prakash Bahadur Chand, M.D.
• Creighton Chandler Jr., MD
• Frances Kay Chandler, B.S., PHARMD
• Karen O Chapman, RPH
• Shannon Kathleen Chappell, PA-C
• Reginald Chaptman
• Willie Chaptman Jr.
• Charity Transport

• Physical Therapist in Monroe, LA
• Providers in Monroe, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.