Individual provider Active NPI

Nguyen Khoi Tran DO, DPT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1013377035
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291170 Issued in CA
Practice address
4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1503
Phone
(408) 238-1552
Fax
(408) 238-1552
NPI assigned
Mar 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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 291170 CA Primary

Addresses

Primary practice location

4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1503

Mailing address

4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1503
Phone (408) 238-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Valley Home Health LLC Current Accepting new patients
Silver Creek Fitness and Physical Therapy Physical Therapist PastSince Jan 2, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1013377035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351503",
            "telephone_number": "408-238-1552",
            "fax_number": "408-238-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351503",
            "telephone_number": "408-238-1552",
            "fax_number": "408-238-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN DO",
        "first_name": "NGUYEN",
        "middle_name": "KHOI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.