STEPHANIE CHAN – Physical Therapist, NPI 1194330753

STEPHANIE CHAN is a healthcare provider. based in Cypress, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2000024479 (). The NPI Number for STEPHANIE CHAN is 1194330753

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE CHAN
NPI
1194330753
Phone
Not provided
Address
10601 WALKER ST STE 200
Enumeration Date
10 September 2020
Last Update Date
10 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142293660
Graduation Year
2020 (6 years ago)
PAC ID
1850710195
Group Practice PAC ID
1557427804
Professional Enrollment ID
I20201006001108
Address ID
CA906304744CY10601STXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for STEPHANIE CHAN

  • 10601 WALKER ST STE 200

    CYPRESS, CA 906304744

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201006001108IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64236$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes49434$0
97140Therapy procedure using manual technique, each 15 minutes38637$0
97530Therapy procedure using functional activities9323$0
97161Evaluation for physical therapy, typically 20 minutes6835$0
View full utilization report →

Insurance plans in this area (ZIP 90630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557427804View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE CHAN?
The federal identifier for STEPHANIE CHAN is NPI 1194330753.
Is STEPHANIE CHAN's NPI currently valid?
The extract we use shows STEPHANIE CHAN as active.
What field does STEPHANIE CHAN work in?
You can think of STEPHANIE CHAN as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is STEPHANIE CHAN's primary listing?
We display Cypress, California because that is what the record indicates for STEPHANIE CHAN.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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