Individual provider Active NPI

Gilbert Lavarias Chan, PT

  • Orthopedic Physical Therapist
  • Bronx, NY
National Provider Identifier
1871519819
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
028152 Issued in NY
Practice address
145 Dreiser Loop
Bronx, NY 10475-2704
Phone
(718) 671-2955
Fax
(888) 583-1385
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 028152 NY Primary

Addresses

Primary practice location

145 Dreiser Loop
Bronx, NY 10475-2704

Mailing address

120 Newham Ave
Brentwood, NY 11717-5624
Phone (631) 813-2143

Other identifiers 1

IdentifierTypeStateIssuer
A400105691OtherNYNGS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061028000011 NY Practitioner - Physical Therapist in Private Practice 0345247698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

115 Main St
Tuckahoe, NY 10707-2948
Phone (914) 961-1010

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028152NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
White Plains Physician Services PC CurrentSince Nov 11, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

700 White Plains Rd
Ste 34
Scarsdale, NY 10583
Phone (914) 472-7023

700 White Plains Rd
Ste 10
Scarsdale, NY 10583
Phone (914) 723-4244

115 Main St
Fl 2
Tuckahoe, NY 10707

115 Main St
Ste 202
Tuckahoe, NY 10707
Phone (914) 961-1010

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1871519819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEWHAM AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175624",
            "telephone_number": "631-813-2143",
            "fax_number": "888-552-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "718-671-2955",
            "fax_number": "888-583-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "GILBERT",
        "middle_name": "LAVARIAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "028152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS MEDICARE",
            "identifier": "A400105691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.