Chang Yong CHI Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026153 Issued in NY

Legal business name

CHANG YONG CHI PHYSICAL THERAPY PC

Practice address

3830 Parsons Blvd Ste 1B
Flushing, NY 11354-5840

Phone

(718) 321-0205

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Chang Yong CHI, DPT, DACNPI 1184624652

Title

President

Phone

(718) 321-0205

Specialties & licenses 2

Addresses

Other names 2

• Dae Won Rehabilitation Doing business as
• CHANGYONG CHI PHYSICAL THERAPY PC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chang Yong CHI, P.T., L.AC. RN.

  • Physical Therapist
  • Flushing, NY
  • NPI 1184624652

  Acupuncturist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1841418902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545841",
            "telephone_number": "718-521-4206",
            "fax_number": "718-321-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545840",
            "telephone_number": "718-321-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG YONG CHI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-0205",
        "authorized_official_credential": "DPT, DAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "4395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CCHIPT@GMAIL.COM",
            "affiliation": "N",
            "address_1": "3830 Parsons Blvd Ste 1B",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dae Won Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHANGYONG CHI PHYSICAL THERAPY PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amit Chandra, M.D.
• Kirti Chandra
• Srinarmadha Chandran, MBBS
• Chandwani Dental LLC
• Brijesh P. Chandwani, D.M.D.
• Ah Young Chang, L.AC
• Amos C Chang, D.D.S.
• Careen S Chang, LCSW
• Charles Chang, D.D.S.
• Chia-Chen Chang

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.