Active NPI
Anh Thu Thao Nguyen-Dao, DPT
- Physical Therapist
- Fairfield, CA
National Provider Identifier
1194076133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38203
- Practice address
- 2600 Estates Dr
Fairfield, CA 94533-9711 - Phone
- (707) 207-7835
- NPI assigned
- Oct 1, 2012
- 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 | 38203 | CA | Primary |
Addresses
Primary practice location
2600 Estates Dr
Fairfield, CA 94533-9711
Mailing address
1414 Stewart Dr.
Fairfield, CA 94533
Phone (916) 420-7930
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38203 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Specialists | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Fairfield, CA
- NPI 1528318904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1194076133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 STEWART DR.",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "916-420-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ESTATES DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945339711",
"telephone_number": "707-207-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN-DAO",
"first_name": "ANH THU",
"middle_name": "THAO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.