KENNETH CHANG-HAY VAN PT, DPT
NPI 1275721524
Physical Therapist in New York, NY
About Kenneth Chang-hay Van Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH CHANG-HAY VAN PT, DPT (NPI 1275721524) is an individual physical therapist in New York, New York, licensed in New York (029836) and active in the NPI registry since October 2007. He is a graduate of Creighton University School Of Medicine (2007).
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.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Chang-hay Van Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Van reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 2 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Kenneth Van's NPI number?
The NPI number for Kenneth Van is 1275721524. It was assigned to this individual provider in the NPPES registry on October 11, 2007.
Where is Kenneth Van located?
Kenneth Van practices at 115 W 30th St Rm 502, New York, NY 10001. The listed phone number is (631) 213-2394.
What is Kenneth Van's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kenneth Van enrolled in Medicare?
Yes. Kenneth Van is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenneth Van's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Van reassigns Medicare benefits to Revolution Physical Therapy PLLC (New York, NY). 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 Kenneth Van'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 Kenneth Van was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kenneth Chang-Hay Van, PT, DPT · NPI 1275721524
Physical Therapist provider in New York, New York. Individual provider, active in the CMS NPPES registry since October 11, 2007.
## Identity
- **NPI:** 1275721524 (Entity type: Individual)
- **Enumerated:** October 11, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 029836 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 115 W 30TH ST RM 502, New York, NY 10001-4074
- **Phone:** (631) 213-2394 · **Fax:** (212) 898-0470
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Revolution Physical Therapy PLLC (NPI 1689281842, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 9, 2024
- **Other identifiers:** Other 1275721524 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1275721524) · Data from the CMS NPPES public registry.