Individual provider Active NPI

Jonathan Aaron Chang, OTR

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1780206649
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120773 Issued in TX
Practice address
2600 Gessner Rd Ste 190
Houston, TX 77080-3844
Phone
(713) 996-7996
Fax
(713) 996-7591
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 120773 TX Primary

Addresses

Primary practice location

2600 Gessner Rd Ste 190
Houston, TX 77080-3844

Mailing address

2600 Gessner Rd Ste 190
Houston, TX 77080-3844
Phone (713) 996-7996

Other practice location 1

550 Greens Pkwy Ste 115
Houston, TX 77067-4538
Phone (832) 962-8805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513002165 TX Practitioner - Occupational Therapist in Private Practice 4587005293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120773TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merc Therapy Centers, LLC Occupational Therapist CurrentSince Apr 3, 2024 Accepting new patients
Rum LLC Occupational Therapist PastSince Oct 17, 2018 Accepting new patients

Locations

550 Greens Pkwy
Ste 115
Houston, TX 77067
Phone (832) 962-8805

2600 Gessner Rd
Ste 190
Houston, TX 77080
Phone (713) 705-8313

Organizations & group practices 2

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1780206649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803844",
            "telephone_number": "713-996-7996",
            "fax_number": "713-996-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803844",
            "telephone_number": "713-996-7996",
            "fax_number": "713-996-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Greens Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770674538",
            "country_code": "US",
            "telephone_number": "832-962-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JONATHAN",
        "middle_name": "AARON",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.