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

Stephanie Chan

Individual provider Athletic Trainer · NPI 1194330753

Stephanie Chan is a Physical Therapist in Private Practice in Cypress, California. Qualified in 2020, 6 years ago. Practices with Optimum Physical Therapy, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10601 Walker St Ste 200
Cypress, CA 90630-4744
Phone: (714) 798-7900
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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 PT298726 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000024479

Record details

NPI number1194330753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address10601 Walker St Ste 200, Cypress, CA 90630-4744

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optimum Physical Therapy — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cypress