Lisa S Chan, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5979 Issued in CA

Practice address

696 E Santa Clara St
Suite 209
San Jose, CA 95112-1911

Phone

(408) 832-5839

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Siumen Chan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Pacific Therapy and Rehab, Inc

  • Rehabilitation Clinic/Center
  • Fremont, CA
  • NPI 1962568493

  Occupational Therapist

  Medicare reassignment NPD
• Pacific Therapy and Rehab, Inc

  • Occupational Therapist
  • San Jose, CA
  • NPI 1598820862
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770649352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610638",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951610638",
            "telephone_number": "408-832-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-832-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIUMEN",
            "last_name": "CHAN",
            "credential": "O.T.R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Kalok Chan, PT
• Kar Wei Chan
• Kevin Kien Man Chan, MD
• Leslie Canh Chan, P.A.
• Linna Chan, PHARM.D.
• Lok Ka Chan
• Marisa Irene Chan
• Mary Chan, DC
• Raymond Chan, PTA
• Raymond TSZ Shun Chan, M.D.

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.