DEREK CHAN


Address: 6525 2nd Ave, Detroit, MI 48202-3006
Phone: 3139724140

DEREK CHAN (NPI# 1033610886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033610886
Entity Type Individual
Full Name DEREK CHAN
Credential PT
Practice Address 6525 2nd Ave
Detroit
MI 48202-3006
Mailing Address 25146 Hunter Ln
Flat Rock
MI 48134-1843
Practice Telephone 3139724140
Enumeration Date 2018-02-27
Last Update Date 2018-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251S0007X Physical Therapist
Specialization: Sports
5501009637 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
5501009637 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DEREK CHAN

NPI Name Taxonomy Address Enumeration
1124283676 Derek Mk Chan Dentist 426 S Buckner Blvd, Dallas, TX 75217-6521 2008-07-24
1932488574 Derek Victor Chan Dermatology 119 W 57th St Ste 212, New York, NY 10019-2302 2011-08-14

Office Location

Street Address 6525 2ND AVE
City DETROIT
State MI
Zip Code 48202-3006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205852621 Nicole L Schreiber Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2006-07-15
1588272306 Robert Berry Clinical Exercise Physiologist 6525 2nd Ave, Detroit, MI 48202-3006 2020-07-17
1871050518 Allie Willis Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2019-03-01
1316411069 Priti Satapathy Physical Therapist 6525 2nd Ave, Detroit, MI 48202-3006 2019-01-16
1265905566 Thomas David Stackpoole Physical Therapist 6525 2nd Ave, Detroit, MI 48202-3006 2019-01-09
1285141044 Emily Margaret Gantt Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202 2018-01-03
1831583566 Hannah Ranae Woods Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2015-03-19
1346648441 Ashley Putnam Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2014-12-05
1023436565 Jacob Heikkinen Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2014-04-02
1417375106 Trevor Lopez Specialist/Technologist 6525 2nd Ave, Detroit, MI 48202-3006 2014-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972960821 Kazeem Agboola Physical Therapist 14058 W Mcnichols Rd, Detroit, MI 48235-3928 2016-01-23
1184180150 Laura Ramus Physical Therapist 3990 John R St, Detroit, MI 48201-2018 2019-02-14
1295227494 Disha Lakhani Physical Therapist 261 Mack Ave, Detroit, MI 48201 2018-06-04
1114418316 Jane Marcia Frahm Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2018-05-23
1609379437 Stephanie Alexander Physical Therapist 3031 W Grand Blvd Ste 700, Detroit, MI 48202-3141 2018-03-18
1477913127 Ideal Physical Therapy Services,inc Physical Therapist 14058 W Mcnichols Rd, Detroit, MI 48235-3928 2016-02-23
1386700961 Ann Marie Valentine Physical Therapist 261 Mack Ave, Detroit, MI 48201 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447851514 Rebecca Marie Beery Physical Therapist 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 2020-11-05
1861037921 Jackson Hanks II Physical Therapist 2901 Commerce Xing, Commerce Township, MI 48390-3084 2019-11-13
1366084030 Shelby Gusfa Physical Therapist 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 2019-10-14
1881168078 Jessie Lynn Lewis Physical Therapist 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 2019-01-22
1063980373 Fuel Physical Therapy & Sports Performance, LLC Physical Therapist 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 2018-11-05
1386111243 Your Alternative Pt, LLC Physical Therapist 640 Romence Rd Ste 111, Portage, MI 49024-3400 2018-10-30
1811472319 Rachel E Michalski Physical Therapist 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 2018-10-01
1265916852 Kelly Gotberg Physical Therapist 854 Washington Ave Ste 200, Holland, MI 49423-7143 2018-09-19
1942793799 Andrew Joseph Grix Physical Therapist 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 2018-06-06
1790272078 Susan G Gall Physical Therapist 67267 S Main St, Richmond, MI 48062-1919 2018-04-22
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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