Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Chan

Individual provider Physical Therapist · NPI 1215442082

Justin Chan is a 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

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