Individual provider Active NPI

Boaz Chung

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1942740543
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC014527 Issued in PA
Practice address
1731 Fulton St
Harrisburg, PA 17102-1632
Phone
(201) 962-5760
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC014527 PA Primary

Addresses

Primary practice location

1731 Fulton St
Harrisburg, PA 17102-1632

Mailing address

1731 Fulton St
Harrisburg, PA 17102-1632
Phone (201) 962-5760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802003831 NJ Practitioner - Occupational Therapist in Private Practice 5496031163 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Rehab Corp Occupational Therapist CurrentSince Mar 20, 2023 Accepting new patients
Reach Therapeutix CurrentSince May 1, 2025 Accepting new patients
Total Care Physical Therapy & Sports Medicine PC CurrentSince Apr 23, 2022 Accepting new patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

4801 Broadway
Union City, NJ 07087
Phone (201) 543-1668

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 4

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1942740543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021632",
            "telephone_number": "201-962-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021632",
            "telephone_number": "201-962-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BOAZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.