JACK WEN DUO CHAN-IMAI (NPI# 1295137669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295137669 |
| Entity Type | Individual |
| Full Name | JACK WEN DUO CHAN-IMAI |
| Credential | DPT |
| Practice Address |
4341 Piedmont Ave Ste 201 Oakland CA 94611-4792 |
| Mailing Address |
21015 Pathfinder Rd Ste 100 Diamond Bar CA 91765-4002 |
| Practice Telephone | 5105471630 |
| Mailing Telephone | 9098613511 |
| Mailing Fax Number | 9098607900 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT 41586 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21015 Pathfinder Rd Ste 100, Diamond Bar, CA 917654002 | 9098613511 | 9098607900 |
| Street Address |
4341 PIEDMONT AVE STE 201 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-4792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981760 | Sports & Orthopedic Leaders Physical Therapy, Inc | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611 | 2006-02-16 |
| 1538771936 | Jennifer Kim | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2020-08-18 |
| 1902418205 | John Paul Guzman | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2020-08-18 |
| 1538792502 | Cynthia Rodriguez | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2020-02-19 |
| 1952942492 | Chelsea S Nicholas | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2019-10-07 |
| 1356805691 | Vincent Vetrone | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2019-01-30 |
| 1760955850 | Julie Watkins | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2019-01-10 |
| 1457833832 | Kelly Wild | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2018-09-03 |
| 1811479371 | Kathryn Marie Scott | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611 | 2018-08-31 |
| 1619471554 | Laura Cannon | Physical Medicine & Rehabilitation | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2018-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1407467954 | Ada Kan | Physical Therapist | 3530 Fruitvale Ave, Oakland, CA 94602-2327 | 2020-08-10 |
| 1831707520 | Caren Hamilton | Physical Therapist | 277 Park View Ter Apt 8, Oakland, CA 94610-4540 | 2020-07-19 |
| 1841813904 | Anisha Patel | Physical Therapist | 260 Perkins St Apt 1e, Oakland, CA 94610-3376 | 2020-05-24 |
| 1073167979 | Stephanie Hines | Physical Therapist | 350 Hawthorne Ave Fl 2, Oakland, CA 94609-3108 | 2019-07-29 |
| 1528622271 | Manpreet Kaur | Physical Therapist | 350 Frank H Ogawa Plz Ste 300, Oakland, CA 94612-2036 | 2019-04-29 |
| 1023672292 | Erica Vincent | Physical Therapist | 675 Upper Dixie Hwy, Oakland, KY 42159-6817 | 2019-04-23 |
| 1184115594 | Mikhail Drizik | Physical Therapist | 21 Ironwood, Oakland, CA 94605-4608 | 2018-05-21 |
| 1174022925 | Sophia Wah Fong | Physical Therapist | 3948 35th Ave, Oakland, CA 94619-1435 | 2018-02-07 |
| 1154838019 | Mei Leng Leong | Physical Therapist | 5687 Miles Ave, Oakland, CA 94618-1267 | 2018-01-01 |
| Find all providers in OAKLAND | ||||
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| 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.