Mimi Nina Cha, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0325941 Issued in NY

Practice address

244 E 84TH St FL 3
New York, NY 10028-2904

Phone

(212) 570-0209

Fax

(212) 570-0197

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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 and National Provider Directory roles.

• New York City Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1801272927
  Medicare reassignment NPD Authorized official
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  Medicare reassignment NPD
• One on One Physical Therapy Services PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740423219
  NPD (past)

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1972829877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E 84TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282904",
            "telephone_number": "212-570-0209",
            "fax_number": "212-570-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E 84TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282904",
            "telephone_number": "212-570-0209",
            "fax_number": "212-570-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "MIMI",
        "middle_name": "NINA",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0325941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "0325941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiyoung Cha
• Kyung Soo Cha, MD
• Lai Yee Cha
• Laura Suryun Cha, M.D.
• Mary Cha, MD
• Soon D Cha, RPH
• Yonhee Cha, MD
• Mahmoud Chaalan
• Chabla Pain & Performance Medicine PLLC
• Chabla-Penafiel Pain Medicine PLLC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.