PATRICK CHAN
NPI 1215863071
Physical Therapist in Culver City, CA

Active since June 19, 2026
6826 S CENTINELA AVE, CULVER CITY, CA 90230(310) 915-0100 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick Chan NPPES

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

PATRICK CHAN (NPI 1215863071) is an individual physical therapist in Culver City, California, licensed in California (PT310041) and active in the NPI registry since June 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1215863071
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NamePATRICK CHAN
Location Address6826 S CENTINELA AVECulver City, CA 90230-6301
Mailing Address1955 Radclay DrWalnut, CA 91789-3531 · (626) 267-8510
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1215863071 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 · PT310041
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.
6826 S CENTINELA AVE, Culver City, CA 90230

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3971061581
PECOS Enrollment IDI20260813005151

Medicare Billing Reassignment

Medicare enrollment records show Patrick Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
11825 MAJOR ST, PENTHOUSE SUITE
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 109 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 7

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

Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Clinic/Center (Physical Therapy)
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230
Physical Therapist
6826 S CENTINELA AVE
CULVER CITY, CA 90230

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 Patrick Chan's NPI number?

The NPI number for Patrick Chan is 1215863071. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Patrick Chan located?

Patrick Chan practices at 6826 S Centinela Ave, Culver City, CA 90230. The listed phone number is (310) 915-0100.

What is Patrick Chan's specialty?

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

Is Patrick Chan enrolled in Medicare?

Yes. Patrick Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Chan reassigns Medicare benefits to Evolution Physical Therapy, Inc (Culver City, 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 Patrick 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 Patrick Chan was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.