Individual provider Active NPI

Jenny Chang, PT, DPT, GCS, CEEAA

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1891209326
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60305065 Issued in WA
Practice address
2800 Northup Way Ste 200
Bellevue, WA 98004-1440
Phone
(253) 234-4601
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60305065 WA Primary

Addresses

Primary practice location

2800 Northup Way Ste 200
Bellevue, WA 98004-1440

Mailing address

2800 Northup Way Ste 200
Bellevue, WA 98004-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171226000380 WA Practitioner - Physical Therapist in Private Practice 8325306202 Reassigns benefits to 4 organizations
Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2800 Northup Way
Suite 200
Bellevue, WA 98004-1440
Phone (253) 234-4601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince Dec 11, 2017 Accepting new patients
Run Seattle Physical Therapy PLLC CurrentSince Feb 1, 2018 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients
The Parkinson'S Fitness Project PLLC CurrentSince Feb 1, 2018 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Dec 11, 2017 Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

106 Lakeside Ave
Seattle, WA 98122
Phone (206) 465-5650

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

Organizations & group practices 8

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1891209326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "253-234-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JENNY",
        "credential": "PT, DPT, GCS, CEEAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60305065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.