DEREK CHAN (NPI# 1033610886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
6525 2ND AVE |
City | DETROIT |
State | MI |
Zip Code | 48202-3006 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 48202 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DEREK CHAN.
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.