Kevin Van Luong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11442R Issued in LA

Practice address

1712 Stumpf Blvd
Terrytown, LA 70056-3923

Phone

(504) 365-1020

Fax

(504) 365-1080

NPI assigned

Nov 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Access LLCGroup PAC ID 3173591708, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rehab Access LLC

  • Physical Therapist
  • Terrytown, LA
  • NPI 1699840520
  Medicare reassignment Care Compare group NPD
• Blue Wave Physical Therapy and Wellness

  • Physical Therapist
  • Metairie, LA
  • NPI 1932623139
  NPD (past)
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Moody, AL
  • NPI 1417386434
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1114495850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STUMPF BLVD",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563923",
            "telephone_number": "504-365-1020",
            "fax_number": "504-365-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 STUMPF BLVD",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563923",
            "telephone_number": "504-365-1020",
            "fax_number": "504-365-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Payton Way",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350941128",
            "country_code": "US",
            "telephone_number": "205-699-8280",
            "fax_number": "205-699-8281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2846 Moody Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043329",
            "country_code": "US",
            "telephone_number": "205-640-0257",
            "fax_number": "205-640-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "KEVIN",
        "middle_name": "VAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11442R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.