Individual provider Active NPI

Jessy Chang, DPT

  • Orthopedic Physical Therapist
  • Sarasota, FL
National Provider Identifier
1740814391
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
35609 Issued in FL
Practice address
8615 S Tamiami TRL # 1
Sarasota, FL 34238-3052
Phone
(941) 222-0286
NPI assigned
Feb 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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 35609 FL Primary

Addresses

Primary practice location

8615 S Tamiami TRL # 1
Sarasota, FL 34238-3052

Mailing address

6150 N Lockwood Ridge Rd
Sarasota, FL 34243-2527

Other practice location 1

6150 N Lockwood Ridge Rd
Sarasota, FL 34243-2527
Phone (941) 960-4741

Other names 1

  • Dr. Jessy Chang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119000706 FL Practitioner - Physical Therapist in Private Practice 5294148904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Stevenson Physical Therapy Inc.Group PAC ID 7911890488, 5 clinicians

Practice addresses (Care Compare)

2055 Wood St
Suite 110
Sarasota, FL 34237-7928
Phone (941) 330-1677

Merit-based Incentive Payment System (MIPS)

Final score
87.47 of 100Reported as group
Quality
80
Improvement activities
40
Cost
84.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35609FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Stevenson Physical Therapy Inc. Orthopedic CurrentSince Dec 21, 2020 Accepting new patients

Locations

777 S Palm Ave
Unit 10
Sarasota, FL 34236
Phone (941) 321-9767

2055 Wood St
Ste 110
Sarasota, FL 34237
Phone (941) 330-1677

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1740814391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 N LOCKWOOD RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 S TAMIAMI TRL # 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342383052",
            "telephone_number": "941-222-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 N Lockwood Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432527",
            "country_code": "US",
            "telephone_number": "941-960-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JESSY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "35609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSY",
            "last_name": "CHANG",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.