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

Parker Chan

Individual provider Physical Therapist · NPI 1558091751

Parker Chan is a Physical Therapist in Private Practice in Boonton, New Jersey. Qualified in 2022, 4 years ago. Practices with Four 3 Performance Laboratory Corp, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

315 Wootton Street Units I And J
Boonton, NJ 07005
Phone: (973) 794-6040
Fax: (973) 794-6041
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02087000 (NJ)

Record details

NPI number1558091751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address315 Wootton Street, Units I And J, Boonton, NJ 07005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Four 3 Performance Laboratory Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boonton