KI SUM FAN
NPI 1467266122
Physical Therapist in Whitestone, NY
About Ki Sum Fan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KI SUM FAN (NPI 1467266122) is an individual physical therapist in Whitestone, New York, licensed in New York (053617) and active in the NPI registry since February 2025.
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)
Ki Sum Fan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ki Sum Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Meadow, NY 11554
- Reassigned Medicare billing, New York enrollment
- 795 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITESTONE, NY 11357
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 Ki Sum Fan's NPI number?
The NPI number for Ki Sum Fan is 1467266122. It was assigned to this individual provider in the NPPES registry on February 4, 2025.
Where is Ki Sum Fan located?
Ki Sum Fan practices at 15253 10th Ave, Whitestone, NY 11357. The listed phone number is (718) 587-0850.
What is Ki Sum Fan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ki Sum Fan enrolled in Medicare?
Yes. Ki Sum Fan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ki Sum Fan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ki Sum Fan reassigns Medicare benefits to Sports Physical Therapy Occupational Therapy And Rehabilitation Servic (East Meadow, 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 Ki Sum Fan'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 Ki Sum Fan was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.