YUN WA CHAN
NPI 1104791383
Occupational Therapist in Staten Island, NY

Active since October 08, 2025
1415 RICHMOND AVE, STATEN ISLAND, NY 10314(877) 407-3422 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yun Wa Chan NPPES

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

YUN WA CHAN (NPI 1104791383) is an individual occupational therapist in Staten Island, New York, licensed in New York (025183) and active in the NPI registry since October 2025. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1104791383
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameYUN WA CHAN
Location Address1415 RICHMOND AVEStaten Island, NY 10314-1553
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1104791383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NY · 025183
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

1415 RICHMOND AVE, Staten Island, NY 10314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yun Wa Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547757536
PECOS Enrollment IDI20251014001627

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist (Physical Rehabilitation)
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104791383, enumerated as an "individual" on October 08, 2025.

The provider is located at 1415 RICHMOND AVE STATEN ISLAND, NY 10314 and the phone number is (877) 407-3422.

Occupational Therapist with taxonomy code 225X00000X.