Individual provider Active NPI

Dustin Yuenn-Yin Chan, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1982349676
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008410 Issued in GA
Practice address
7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711
Phone
(678) 616-1330
Fax
(470) 401-2545
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 OT008410 GA Primary

Addresses

Primary practice location

7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711

Mailing address

7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711
Phone (678) 616-1330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000790 GA Practitioner - Occupational Therapist in Private Practice 9133620891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Hand Therapy, LLCGroup PAC ID 2567631559, 8 clinicians

Practice addresses (Care Compare)

201 Kimberly Way
Suite 102
Canton, GA 30114-9998
Phone (770) 333-7888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Hand Therapy, LLC Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Atlanta Hand Therapy, LLC Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

201 Kimberly Way
Ste 102
Canton, GA 30114
Phone (678) 214-6960

3775 Roswell Rd
Ste 250
Marietta, GA 30062
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 220
Smyrna, GA 30082
Phone (678) 214-6960

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1982349676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DUNWOODY PARK STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386711",
            "telephone_number": "678-616-1330",
            "fax_number": "470-401-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DUNWOODY PARK STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386711",
            "telephone_number": "678-616-1330",
            "fax_number": "470-401-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DUSTIN",
        "middle_name": "YUENN-YIN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.