Active NPI
Kai-Chang Chan
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1360285
- Practice address
- 11637 Bandera Rd Ste 101
San Antonio, TX 78250-6851 - Phone
- (210) 419-8777
- Fax
- (210) 319-7071
- NPI assigned
- Dec 10, 2013
- Last updated
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01482 | TX | |
| Physical Therapist | 225100000X | 1360285 | TX | Primary |
Addresses
Primary practice location
11637 Bandera Rd Ste 101
San Antonio, TX 78250-6851
Mailing address
9240 Guilbeau Rd Ste 102
San Antonio, TX 78250-3091
Phone (210) 509-8282
Other practice location 1
9240 Guilbeau Rd Ste 102
San Antonio, TX 78250-3091
Phone (210) 509-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11637 Bandera Rd
Suite 101
San Antonio, TX 78250-6851
Phone (210) 479-8777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01482 | TX | MD | Acupuncturist |
| 1360285 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Texas Health and Science University | Acupuncturist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032
11637 Bandera Rd
Ste 101
San Antonio, TX 78250
Phone (210) 419-8777
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist, TX
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
- Acupuncturist
- Austin, TX
- NPI 1144862475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1881025294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 GUILBEAU RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782503091",
"telephone_number": "210-509-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11637 BANDERA RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782506851",
"telephone_number": "210-419-8777",
"fax_number": "210-319-7071"
}
],
"practiceLocations": [
{
"address_1": "9240 Guilbeau Rd Ste 102",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782503091",
"country_code": "US",
"telephone_number": "210-509-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "KAI-CHANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-10",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01482",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1360285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.