Active NPI
Minh Thanh Duong
- Physical Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.PT.61671137
- Practice address
- 1200 112TH Ave NE Ste C186
Bellevue, WA 98004-3749 - Phone
- (425) 827-5877
- NPI assigned
- Feb 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.PT.61671137 | WA | Primary |
Addresses
Primary practice location
1200 112TH Ave NE Ste C186
Bellevue, WA 98004-3749
Mailing address
12225 NE 5TH St Apt B304
Bellevue, WA 98005-4814
Other names 1
- Jason Minhthanh Duong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303752 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959
18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967
18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300
7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800
Interoperability endpoints
- https://api.platform.athenahealth.com/21375/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapist
- Santa Ana, CA
- NPI 1114978830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1033816533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12225 NE 5TH ST APT B304",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE STE C186",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043749",
"telephone_number": "425-827-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "MINH",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.PT.61671137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "DUONG",
"middle_name": "MINHTHANH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.