Provider Demographics
NPI:1033126313
Name:CHEN, JINJIAN (PT)
Entity type:Individual
Prefix:DR
First Name:JINJIAN
Middle Name:
Last Name:CHEN
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 1:55 N 13TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-3528
Mailing Address - Country:US
Mailing Address - Phone:408-436-5522
Mailing Address - Fax:408-436-8777
Practice Address - Street 1:55 N 13TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-3528
Practice Address - Country:US
Practice Address - Phone:408-436-5522
Practice Address - Fax:408-436-8777
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7085171100000X
CAPT22207225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP14737Medicare UPIN
CAP14737Medicare UPIN