Dakota Chin
Physical Therapist in Rego Park, NY. Individual provider (NPI-1).
NPI number1366047482
StatusActive
Last updated in NPPESJun 21, 2025
Details
- NPI
- 1366047482
- Entity type
- Individual (NPI-1)
- Name
- Dakota Chin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2020
- Certification date
- Jun 21, 2025
- Last updated
- Jun 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 302345 | CA | Yes |
| 225100000X | Physical Therapist | 046646 | NY |
Practice location
6615 Thornton Pl Apt 3cRego Park, NY 11374-5131
Phone 718-551-4063 · Fax 914-381-0207
Mailing address
576 Broadhollow RdMelville, NY 11747-5002
Phone 631-359-5859
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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