Nicholas Jan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25290 Issued in MD

Practice address

4701 Randolph Rd
Ste 105
Rockville, MD 20852-2260

Phone

(301) 990-9599

NPI assigned

Jan 3, 2015

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Jan Active Therapy LLCGroup PAC ID 9133489776, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jan Active Therapy LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
  • NPI 1285146423
  Medicare reassignment Care Compare group Authorized official
• Chinese Culture and Community Service Center, Inc.

  dba Pan Asian Volunteer Health Clinic

  • Primary Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1033509591

  DC

  Medicare reassignment NPD
• Chinese Culture and Community Service Center, Inc.

  • Occupational Therapist
  • Gaithersburg, MD
  • NPI 1891328563

  Physical Therapist

  NPD

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1841688546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "address_2": "STE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034583",
            "telephone_number": "301-870-7366",
            "fax_number": "301-870-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522260",
            "telephone_number": "301-990-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-03",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M Jamison, CRNP-FAMILY
• Jena Jamison, MD
• Jan Active Therapy LLC
• Jan Bachowski, MD
• Eric CHI-Jun Jan, OD
• Jane Cantor, LLC
• Jordan Janey
• Jae Yeon Jang, DMD
• Jeehyun N/a Jang
• Jisoo Jang, PA-S

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.