Justin Chan
NPI 1215442082ActiveIndividual· Physical Therapist· Staten Island, NY
Physical Therapist in Staten Island, New York, trained at Northeastern Ohio University College of Medicine (class of 2017). Medicare paid $62,887 for services to 91 patients in 2024.
Overview
| NPI | 1215442082 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 2, 2017 |
| Last updated in NPPES | Dec 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 042572-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 2,677 across 7 procedure codes |
| Paid by Medicare | $62,887 |
Education and affiliations
| Medical school | Northeastern Ohio University College of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ergo Physical Therapy PCForest Hills, NY · 5 clinicians
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All 679 physical therapists in Staten Island · All physical therapists in New York