Individual provider Active NPI

Jeffrey Huang, DPT

  • Physical Therapist
  • Temple City, CA
National Provider Identifier
1033092093
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305464 Issued in CA
Practice address
4887 Glickman Ave
Temple City, CA 91780-4019
Phone
(626) 632-1477
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 305464 CA Primary

Addresses

Primary practice location

4887 Glickman Ave
Temple City, CA 91780-4019

Mailing address

4887 Glickman Ave
Temple City, CA 91780-4019
Phone (626) 632-1477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001468 CA Practitioner - Physical Therapist in Private Practice 7618474917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Physical Therapy Specialists IncGroup PAC ID 9537111745, 13 clinicians

Practice addresses (Care Compare)

111 S Hudson Ave
Pasadena, CA 91101-2606
Phone (626) 683-8536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305464CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Physical Therapy Specialists, Inc Physical Therapist CurrentSince Oct 7, 2025 Accepting new patients
Foothill Family Service - Hudson PastSince Oct 7, 2025 Accepting new patients

Locations

111 S Hudson Ave
Pasadena, CA 91101
Phone (626) 683-8536

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, 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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1033092093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 GLICKMAN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804019",
            "telephone_number": "626-632-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 GLICKMAN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804019",
            "telephone_number": "626-632-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.