CAROLYN CHU PHAN PT, DPT
NPI 1023770146
Physical Therapist in Westminster, CA

Active since October 06, 2021
88.87/100
CMS Quality Rating
14120 BEACH BLVD STE 225, WESTMINSTER, CA 92683(866) 303-9355 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Chu Phan Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN CHU PHAN PT, DPT (NPI 1023770146) is an individual physical therapist in Westminster, California, licensed in California (301103) and active in the NPI registry since October 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1023770146
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCAROLYN CHU PHANCredential: PT, DPT
Location Address14120 BEACH BLVD STE 225Westminster, CA 92683-4497
Mailing Address11582 Elizabeth StGarden Grove, CA 92840-1632 · (714) 782-8423
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 6, 2021
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1023770146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 301103
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
14120 BEACH BLVD STE 225, Westminster, CA 92683

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Chu Phan Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739570797
PECOS Enrollment IDI20211229001985

Medicare Billing Reassignments

4

Medicare enrollment records show Carolyn Phan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
5455 GARDEN GROVE BLVD STE 100
Westminster, CA 92683
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Pain Medicine
2029 W ORANGEWOOD AVE STE A
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
Physical Therapist
11825 MAJOR ST, PENTHOUSE SUITE
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1335 N LA BREA AVE STE 3
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,180 services109 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
442 services88 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
414 services79 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
348 services38 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
344 services72 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
257 services40 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.91
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
14120 BEACH BLVD STE 225
WESTMINSTER, CA 92683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Phan's NPI number?

The NPI number for Carolyn Phan is 1023770146. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Carolyn Phan located?

Carolyn Phan practices at 14120 Beach Blvd Ste 225, Westminster, CA 92683. The listed phone number is (866) 303-9355.

What is Carolyn Phan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Carolyn Phan enrolled in Medicare?

Yes. Carolyn Phan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carolyn Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Phan reassigns Medicare benefits to 4 organizations: Superior Joint And Spine Medical Center Inc. (Westminster, CA), Advanced Joint And Spine Medical Center Inc. (Orange, CA), Evolution Physical Therapy, Inc (Culver City, CA) and Back2 Health Physical Therapy Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Phan was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.