Active NPI
Brenda Truong
- Physical Therapist
- Atlantic, IA
National Provider Identifier
1184153454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1501 E 10TH St
Atlantic, IA 50022-1936 - Phone
- (712) 243-3250
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1501 E 10TH St
Atlantic, IA 50022-1936
Mailing address
12615 Horton Ave
Urbandale, IA 50323-2329
Other practice location 1
12615 Horton Ave
Urbandale, IA 50323
Phone (515) 554-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184153454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12615 HORTON AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-243-3250"
}
],
"practiceLocations": [
{
"address_1": "12615 Horton Ave",
"address_purpose": "LOCATION",
"city": "Urbandale",
"state": "IA",
"postal_code": "50323",
"country_code": "US",
"telephone_number": "515-554-5643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.