Active NPI
Zhan Qian, PTA
- Physical Therapy Assistant
- Albertson, NY
National Provider Identifier
1821235284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 006312
- Practice address
- 201 I U Willets Rd
Albertson, NY 11507-1516 - Phone
- (516) 739-4900
- Fax
- (516) 739-4909
- NPI assigned
- Jan 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 006312 | NY | Primary |
Addresses
Primary practice location
201 I U Willets Rd
Albertson, NY 11507-1516
Mailing address
201 I U Willets Rd
Albertson, NY 11507-1516
Phone (516) 739-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274415 | Medicaid | NY |
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 |
|---|---|---|---|
| 006312 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1821235284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 I U WILLETS RD",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071516",
"telephone_number": "516-739-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 I U WILLETS RD",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071516",
"telephone_number": "516-739-4900",
"fax_number": "516-739-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIAN",
"first_name": "ZHAN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "006312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albertson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.