Individual provider Active NPI

Vinh Lam, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1154033876
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6169 Issued in OK
Practice address
3705 NW 63Rd St Ste 201
Oklahoma City, OK 73116-1937
Phone
(405) 297-4968
Fax
(972) 848-5269
NPI assigned
Dec 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 6169 OK Primary

Addresses

Primary practice location

3705 NW 63Rd St Ste 201
Oklahoma City, OK 73116-1937

Mailing address

1849 NW 172ND St
Edmond, OK 73012-7011
Phone (405) 464-7821

Other practice location 1

3130 SW 89th St Ste 200
Oklahoma City, OK 73159-7909
Phone (972) 846-0837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002322 OK Practitioner - Physical Therapist in Private Practice 5193196830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPC Holdings LLCGroup PAC ID 6507123874, 17 clinicians

Practice addresses (Care Compare)

13801 N Western Ave
Suite B
Edmond, OK 73013-1798
Phone (405) 946-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPC Holdings LLC Physical Therapist CurrentSince May 26, 2025 Accepting new patients
Sho Professional Services LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

13801 N Western Ave
Ste B
Edmond, OK 73013
Phone (405) 946-7300

200 N Bryant Ave
Ste 110
Edmond, OK 73034
Phone (405) 471-5444

3130 SW 89th St
Ste 200
Oklahoma City, OK 73159
Phone (405) 645-5475

1200 SW 104th St
Ste A
Oklahoma City, OK 73139
Phone (405) 759-3773

5608 SE 67th St
Ste 105
Oklahoma City, OK 73135
Phone (405) 254-4199

3705 NW 63rd St
Ste 201
Oklahoma City, OK 73116
Phone (405) 673-3280

4409 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 242-4100

740 S Mustang Rd
Yukon, OK 73099
Phone (405) 494-7070

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1154033876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 NW 172ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127011",
            "telephone_number": "405-464-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-297-4968",
            "fax_number": "972-848-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 SW 89th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597909",
            "country_code": "US",
            "telephone_number": "972-846-0837",
            "fax_number": "214-764-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "VINH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.