Individual provider Active NPI

Minh Thanh Duong

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1033816533
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.PT.61671137 Issued in WA
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

Updated by the provider on Jul 24, 2026

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 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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001644 CA Practitioner - Physical Therapist in Private Practice 8820463557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303752CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Feb 20, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Feb 20, 2023 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.