PARKER CHAN – Physical Therapist, NPI 1558091751

PARKER CHAN is a healthcare provider. based in Boonton, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA02087000 (NJ). The NPI Number for PARKER CHAN is 1558091751

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
PARKER CHAN
NPI
1558091751
Phone
(973) 794-6040
Address
315 WOOTTON STREET
Enumeration Date
13 June 2022
Last Update Date
13 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737946040
Graduation Year
2022 (4 years ago)
PAC ID
7719366632
Group Practice PAC ID
3779831714
Professional Enrollment ID
I20220623002951
Address ID
NJ070051939BO315XXSTXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for PARKER CHAN

  • 315 WOOTTON STREET

    UNITS I AND J

    BOONTON, NJ 07005

    Phone: (973) 794-6040

    Fax: (973) 794-6041

    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: 2022-06-23

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
I20220623002951IPhysical Therapist In Private PracticeNJTBD

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 minutes1,75969$0
97140Therapy procedure using manual technique, each 15 minutes66857$0
97162Evaluation for physical therapy, typically 30 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 07005)

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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: 3779831714View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is the standard ID for PARKER CHAN in the U.S.?
In the U.S., PARKER CHAN is identified by NPI 1558091751.
Should I treat PARKER CHAN as an active provider?
Patients and plans typically see PARKER CHAN as active in the national extract.
Which specialty label fits PARKER CHAN?
NPPES ties PARKER CHAN to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PARKER CHAN?
PARKER CHAN is associated with Boonton, New Jersey in the same public data insurers reference.
Who maintains PARKER CHAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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