Active NPIIndividual provider

Trystan Chan

Physical Therapist in Great Neck, New York

NPI Number1093418162
Practice location
25 Strathmore RD, Great Neck, NY 11023-1035
Fax
—
Last updated
February 24, 2025

Trystan Chan is a Physical Therapist based in Great Neck, NY. Trystan Chan practices in Great Neck, NY. The NPI Number for Trystan Chan is 1093418162 and holds a License No. 26677 (MA). The current practice location address for Trystan Chan is 25 Strathmore RD, Great Neck, NY 11023-1035 and can be reached out via phone at 516-500-8998.

Provider Profile Details

NPI Number
1093418162
Provider Name
Trystan Chan
Provider Entity Type
Individual
Gender
Male
Address
25 Strathmore RD, Great Neck, NY 11023-1035
Phone Number
516-500-8998
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2023
Last Update Date
February 24, 2025
Certification Date
February 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Strathmore RD
Great Neck, NY 11023-1035
Zip
11023-1035
Phone Number
516-500-8998
Great Neck, NY 11023Get directions →

Provider Business Mailing Address Details

Address
2001 Butterfield RD Ste 1600
Downers Grove, IL 60515-1211
City
Downers Grove
State
IL
Zip
60515-1211

License Information

License Number (1)
26677
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
050529-01
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Trystan Chan?

The NPI number of Trystan Chan is 1093418162. It was assigned on March 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Trystan Chan?

Trystan Chan is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 26677.

Where does Trystan Chan practice?

The practice location is 25 Strathmore RD, Great Neck, NY 11023-1035. The office can be reached at 516-500-8998 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093418162 directly on the NPPES registry website.

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