Individual provider Active NPI

Berny Thien Nguyen

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1194305029
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1343460 Issued in TX
Practice address
11515 Chimney Rock Rd # 2
Houston, TX 77035-2905
Phone
(281) 242-5252
NPI assigned
Apr 13, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 1343460 TX Primary

Addresses

Primary practice location

11515 Chimney Rock Rd # 2
Houston, TX 77035-2905

Mailing address

4722 Menlo Park Dr
Sugar Land, TX 77479-3830
Phone (832) 770-1559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713000128 TX Practitioner - Physical Therapist in Private Practice 4587066683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Therapy, PCGroup PAC ID 6507831773, 14 clinicians

Practice addresses (Care Compare)

1690 W Baker Rd
Suite a
Baytown, TX 77521-2416
Phone (281) 214-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy PC Physical Therapist CurrentSince Feb 22, 2023 Accepting new patients
Webster Surgical Specialty Hospital, LLC Past Accepting new patients
Advance Therapy PC Physical Therapist PastSince Feb 22, 2023 Accepting new patients

Locations

1690 W Baker Rd
Ste A
Baytown, TX 77521
Phone (281) 214-2565

3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958

9638 Huffmeister Rd
#A
Houston, TX 77095
Phone (281) 214-2121

3634 Glenn Lakes Ln
Ste 130
Missouri City, TX 77459
Phone (713) 518-1805

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1194305029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 MENLO PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793830",
            "telephone_number": "832-770-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 CHIMNEY ROCK RD # 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352905",
            "telephone_number": "281-242-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BERNY",
        "middle_name": "THIEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1343460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.