JEREMY JAY CHAN DPT ATC
NPI 1063495869
Physical Therapist in Mountain View, CA
About Jeremy Jay Chan Dpt Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY JAY CHAN DPT ATC (NPI 1063495869) is an individual physical therapist in Mountain View, California, licensed in California (PT27391) and active in the NPI registry since November 2005.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremy Jay Chan Dpt Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeremy Chan's NPI number?
The NPI number for Jeremy Chan is 1063495869. It was assigned to this individual provider in the NPPES registry on November 25, 2005.
Where is Jeremy Chan located?
Jeremy Chan practices at 490 W El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 961-7370.
What is Jeremy Chan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jeremy Chan enrolled in Medicare?
Yes. Jeremy Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Chan reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Jeremy Chan'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 Jeremy Chan was last updated on January 3, 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.