Individual provider Active NPI

Joseph Stanley Chew, P.T.

  • Pediatric Physical Therapist
  • Anaheim, CA
National Provider Identifier
1780818203
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
33144 Issued in CA
Practice address
1360 S Anaheim Blvd Ste 150
Anaheim, CA 92805-6205
Phone
(714) 776-1231
Fax
(714) 776-0802
NPI assigned
May 12, 2009
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 33144 CA Primary

Addresses

Primary practice location

1360 S Anaheim Blvd Ste 150
Anaheim, CA 92805-6205

Mailing address

1333 W Maxzim Ave
Fullerton, CA 92833-4609
Phone (818) 437-1583

Other practice location 1

2700 N Main St Ste 945
Santa Ana, CA 92705-6678
Phone (714) 542-1234

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33144CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapies, Inc. Pediatrics PastSince May 30, 2023 Accepting new patients
Progress Speech & Language Pathology Center, Inc. Past Accepting new patients

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, 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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1780818203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W MAXZIM AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334609",
            "telephone_number": "818-437-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S ANAHEIM BLVD STE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056205",
            "telephone_number": "714-776-1231",
            "fax_number": "714-776-0802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 N Main St Ste 945",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927056678",
            "country_code": "US",
            "telephone_number": "714-542-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEW",
        "first_name": "JOSEPH",
        "middle_name": "STANLEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "33144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.