Individual provider Active NPI

Vincent Ngo, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1003217597
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023678 Issued in PA
Practice address
133 W Hunting Park Ave
Philadelphia, PA 19140-2717
Phone
(215) 455-5370
NPI assigned
Sep 16, 2014
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023678 PA Primary

Addresses

Primary practice location

133 W Hunting Park Ave
Philadelphia, PA 19140-2717

Mailing address

413 W Shunk St
Philadelphia, PA 19148-4640

Other practice location 1

1843 E Passyunk Ave
Philadelphia, PA 19148-2127
Phone (215) 437-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105002149 PA Practitioner - Physical Therapist in Private Practice 1254553308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (267) 996-3900

3251 Cedar St
Philadelphia, PA 19134-4514
Phone (215) 427-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023678PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
La Fortaleza Physical Therapy Center Inc. Physical Therapist CurrentSince Sep 30, 2014 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
La Fortaleza Physical Therapy Center Inc Physical Therapist Past Accepting new patients
La Fortaleza Physical Therapy Inc Physical Therapist PastSince Sep 30, 2014 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600

1930 S Broad St
Ste J
Philadelphia, PA 19145
Phone (267) 507-7572

3251 Cedar St
Philadelphia, PA 19134
Phone (215) 427-2242

7500 Central Ave
Ste 102
Philadelphia, PA 19111
Phone (267) 388-6077

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1003217597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W SHUNK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-455-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1843 E Passyunk Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482127",
            "country_code": "US",
            "telephone_number": "215-437-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "VINCENT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.