Elaine Chan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292075 Issued in CA

Practice address

2850 Artesia Blvd
Ste 207
Redondo Beach, CA 90278-3413

Phone

(310) 371-4774

Fax

(310) 371-3453

NPI assigned

Dec 19, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marina Sports Physical Therapy P CGroup PAC ID 0143579458, 4 clinicians

Pro-Health Physical Therapy Inc.Group PAC ID 3476581109, 7 clinicians

Kulagy Physical Therapy PCGroup PAC ID 9638459621, 17 clinicians

Practice addresses (Care Compare)

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.

• Marina Sports Physical Therapy P C

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1225522725
  Medicare reassignment Care Compare group NPD
• Pro-Health Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Redondo Beach, CA
  • NPI 1205935723

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kulagy Physical Therapy, PC

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1265895080
  Medicare reassignment Care Compare group
• Kiley Chiropractic

  • Chiropractor
  • Redondo Beach, CA
  • NPI 1508965013
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1982149423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 KINGSPOINT DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "STE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "310-371-4774",
            "fax_number": "310-371-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cetz
• Shanel Chab
• Mikaela Chacon
• Lori Q Chaib, PSY.D.
• Helen Elle Chambers, M.S. CCC-SLP
• Michael Chan, DPT
• William Wai-Leong Chan, D.D.S.
• Yan Yu Grace Chan
• Diana Meihung Chang, M.D.
• Madeline Chang

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.