Individual provider Active NPI

Michael Thomas Chin, P.T., D.P.T.

  • Orthopedic Physical Therapist
  • Milpitas, CA
National Provider Identifier
1740525948
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
39676 Issued in CA
Practice address
1673 S Main St
Milpitas, CA 95035-6200
Phone
(408) 495-3743
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 39676 CA Primary

Addresses

Primary practice location

1673 S Main St
Milpitas, CA 95035-6200

Mailing address

1673 S Main St
Milpitas, CA 95035-6200
Phone (408) 495-3743

Other practice location 1

1810 Gateway Dr Ste 110
San Mateo, CA 94404-2470
Phone (650) 345-2739

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Physical Therapy Inc. CurrentSince Mar 17, 2024 Accepting new patients
MMT Physical Therapy Inc Orthopedic Past Accepting new patients
B.E.S.T. Physical Therapy, a Prof Corp Orthopedic PastSince May 20, 2010 Accepting new patients

Locations

1673 S Main St
Milpitas, CA 95035
Phone (408) 495-3743

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1740525948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356200",
            "telephone_number": "408-495-3743",
            "fax_number": "650-345-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356200",
            "telephone_number": "408-495-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Gateway Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944042470",
            "country_code": "US",
            "telephone_number": "650-345-2739",
            "fax_number": "650-345-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "39676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.