Provider Demographics
NPI:1609055953
Name:CHUANG, CHY-CHING (PT)
Entity type:Individual
Prefix:MRS
First Name:CHY-CHING
Middle Name:
Last Name:CHUANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 953925
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-3925
Mailing Address - Country:US
Mailing Address - Phone:386-774-6333
Mailing Address - Fax:386-774-6441
Practice Address - Street 1:2501 S VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-9116
Practice Address - Country:US
Practice Address - Phone:386-744-6333
Practice Address - Fax:386-774-6441
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 22574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1720155997OtherGROUP NPI
CH2068OtherRAILROAD MEDICARE
Y923LOtherBCBS GROUP PO
2381853OtherAETNA GROUP NUMBER
FLPT 22574OtherPT LICENSE
Y923DOtherBCBS GROUP
1869541OtherFIRST HEALTH GROUP #
Y926BOtherBCBS GROUP OB
CH2068OtherRAILROAD MEDICARE