Matthew Chan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043799 Issued in NY

Practice address

209 Merrick Ave
Merrick, NY 11566-3125

Phone

(516) 867-0500

NPI assigned

Nov 9, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevate Dynamics Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Massapequa, NY
  • NPI 1225863111
  NPD Authorized official
• Lifetime Physical Therapy & Chiropractic PLLC

  • Chiropractor
  • West Harrison, NY
  • NPI 1295118073

  Physical Therapist

  NPD (past)
• One Physical Therapy, P.C.

  • Physical Therapist
  • Syosset, NY
  • NPI 1235436874
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1992273767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BARNUM AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663125",
            "telephone_number": "516-867-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Cataldo, LMHC
• Bonnie Sue Cavuoto/Kader
• Central Occupational Therapy, PLLC
• Barbie Ann Cervoni, RD, CDE
• Joy C. Cesarski-Loew, CCC-SLP
• Jennifer Chasin
• Qiaoran Chen, PHARMD
• Anne Cherisme Justafort, FNP
• Chiropractic Diagnostic Testing
• Alexis Marie Chiusano, FNP

• Physical Therapist in Merrick, NY
• Providers in Merrick, 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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.