Individual provider Active NPI

Michael Chen

  • Physical Therapist
  • Plymouth, MI
National Provider Identifier
1801378831
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1306863 Issued in TX
Practice address
801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Phone
(866) 991-0900
NPI assigned
Sep 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 1306863 TX Primary

Addresses

Primary practice location

801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224

Mailing address

11711 NE 12TH St
Ste 3a
Bellevue, WA 98005-2461
Phone (425) 450-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200426000037 AZ Practitioner - Physical Therapist in Private Practice 3476983818 Reassigns benefits to 1 organization
I20210518002921 WA Practitioner - Physical Therapist in Private Practice 3476983818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

12910 Totem Lake Blvd NE
Suite 105
Kirkland, WA 98034-2901
Phone (425) 823-8631

15500 1St Ave S
Suite 106
Burien, WA 98148-1052
Phone (206) 258-2549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1306863TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 5, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 5, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

26001 Barber Cut Off Rd NE
Ste C1
Kingston, WA 98346
Phone (360) 297-7050

12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 7

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1801378831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706224",
            "telephone_number": "866-991-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.