Provider Demographics
NPI:1245303619
Name:CHENG, MING-SHUN (PT, MS, SCD)
Entity type:Individual
Prefix:DR
First Name:MING-SHUN
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:PT, MS, SCD
Other - Prefix:DR
Other - First Name:M.
Other - Middle Name:SAMUEL
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, MS, SCD
Mailing Address - Street 1:266 SW 159TH TER
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2268
Mailing Address - Country:US
Mailing Address - Phone:954-475-1833
Mailing Address - Fax:
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25530225100000X
MA15597225100000X
NY021997-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist