Active NPI
Jian Chen, OTR
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1790099513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016311-1
- Practice address
- 201 Conselyea St
Brooklyn, NY 11211-2516 - Phone
- (711) 878-2146
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016311-1 | NY | Primary |
Addresses
Primary practice location
201 Conselyea St
Brooklyn, NY 11211-2516
Mailing address
4727 212TH St
Bayside, NY 11361-3229
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016311-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1790099513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 212TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CONSELYEA ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112112516",
"telephone_number": "711-878-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JIAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016311-1",
"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 Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.