Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justin Chan

Individual provider Physical Therapist · NPI 1215442082

Justin Chan is registered under Physical Therapist in Private Practice in Staten Island, New York. Graduated from Northeastern Ohio University College of Medicine in 2017, 9 years ago. Practices with Ergo Physical Therapy PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
Northeastern Ohio University College of Medicine
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

33 Richmond Hill Rd
Staten Island, NY 10314-5950
Phone: (718) 982-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 042572-1 (NY)

Record details

NPI number1215442082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 2, 2017
Last updated in NPPESDecember 2, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ergo Physical Therapy Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients91
Services billed 2,677 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ergo Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Staten Island