Individual provider Active NPI

Vicky Chiang

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1760844534
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038067 Issued in NY
Practice address
755 61St St
Brooklyn, NY 11220-4211
Phone
(412) 916-0330
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038067 NY Primary

Addresses

Primary practice location

755 61St St
Brooklyn, NY 11220-4211

Mailing address

20 River CT
Apt 1110
Jersey City, NJ 07310-2201
Phone (412) 916-0330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514000197 NY Practitioner - Physical Therapist in Private Practice 8527322841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Season Medical PLLCGroup PAC ID 1850666819, 6 clinicians

Practice addresses (Care Compare)

7112 Bay Pkwy
Brooklyn, NY 11204-6016
Phone (718) 680-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038067NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Season Medical PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1760844534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVER CT",
            "address_2": "APT 1110",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102201",
            "telephone_number": "412-916-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204211",
            "telephone_number": "412-916-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "VICKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.