Individual provider Active NPI

Danny Nguyen, DPT, PT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1205702149
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305121 Issued in CA
Practice address
3645 Grand Ave Ste 203
Oakland, CA 94610-2039
Phone
(510) 883-3534
NPI assigned
Oct 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 305121 CA Primary

Addresses

Primary practice location

3645 Grand Ave Ste 203
Oakland, CA 94610-2039

Mailing address

3129 Folsom St
San Francisco, CA 94110-4701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216000763 CA Practitioner - Physical Therapist in Private Practice 9638663768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level Up Wellness and Physical Therapy, Inc.Group PAC ID 0840686093, 7 clinicians

Practice addresses (Care Compare)

3645 Grand Ave
Suite 203
Oakland, CA 94610-2039
Phone (510) 883-3534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305121CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurorenew Physical Therapy PC Physical Therapist CurrentSince Oct 5, 2025 Accepting new patients
Level Up Wellness and Physical Therapy, Inc. Physical Therapist CurrentSince Oct 5, 2025 Accepting new patients

Locations

3645 Grand Ave
Ste 203
Oakland, CA 94610
Phone (408) 504-6045

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1205702149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 FOLSOM ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102039",
            "telephone_number": "510-883-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DANNY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.