MEDICARE: EVA CHAN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	052773	NY

General Provider Information

NPI Number	:	1154151579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA CHAN PT, DPT

Provider Business Mailing Address
First Line	:	10 YORKSHIRE RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3612
Country	:	US
Telephone Number	:	718-440-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 OLD SHORE RD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-2222
Country	:	US
Telephone Number	:	516-464-7959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2024
Last Update Date	:	08/12/2024

Similar Medicare Providers

1316956543 — JAGMOHAN WALIA O.D.
Practice Location Address:

25 OLD SHORE RD
PORT WASHINGTON, NY
11050-2222

Practice Phone: 516-944-5509
Practice Fax: 516-944-5508

1982720017 — EYESITE IN SIGHT INC.
Practice Location Address:

25 OLD SHORE RD
PORT WASHINGTON, NY
11050-2222

Practice Phone: 516-944-5509
Practice Fax:

1770290603 — JOHN NEUMAN PT, DPT
Practice Location Address:

57 OLD SHORE RD
PORT WASHINGTON, NY
11050-2222

Practice Phone: 516-464-7959
Practice Fax:

1902621303 — KYLE ENG DPT
Practice Location Address:

57 OLD SHORE RD
PORT WASHINGTON, NY
11050-2222

Practice Phone: 516-464-7959
Practice Fax:

1619961976 — MR. MARTIN J FIALA MD
Practice Location Address:

1816 N WASHINGTON ST , SUITE 100
TULLAHOMA, TN
37388-2222

Practice Phone: 931-455-8676
Practice Fax: 931-455-9983

1306831417 — TULLAHOMA ORTHOPAEDICS & SPORTS MEDICINE PLLC
Practice Location Address:

1816 N WASHINGTON ST , SUITE 100
TULLAHOMA, TN
37388-2222

Practice Phone: 931-455-8676
Practice Fax: 931-455-9983

Directions to “ EVA CHAN PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.