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

Kenneth Chang-Hay Van, PT, DPT

Individual provider Physical Therapist · NPI 1275721524

Kenneth Chang-Hay Van, PT, DPT is registered under Physical Therapist in Private Practice in New York, New York. Graduated from Creighton University School of Medicine in 2007, 19 years ago. Practices with Revolution Physical Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
Creighton University School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

115 W 30th St Rm 502
New York, NY 10001-4074
Phone: (631) 213-2394
Fax: (212) 898-0470
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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 029836 (NY)

Record details

NPI number1275721524
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 11, 2007
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Revolution Physical Therapy Pllc — 2 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 patients12
Services billed 1,183 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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 Revolution Physical Therapy PLLC

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

Other providers in New York