Active NPI
Dung Tran, P.T.
- Physical Therapist
- Montclair, CA
National Provider Identifier
1205873866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21562
- Practice address
- 5153 Holt Blvd
A-1
Montclair, CA 91763-4837 - Phone
- (909) 626-2220
- Fax
- (888) 218-6160
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- 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 | PT21562 | CA | Primary |
Addresses
Primary practice location
5153 Holt Blvd
A-1
Montclair, CA 91763-4837
Mailing address
5153 Holt Blvd
A-1
Montclair, CA 91763-4837
Phone (909) 626-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4651 Holt Blvd
Suite C
Montclair, CA 91763-4730
Phone (909) 626-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21562 | CA | MD | Physical Therapist |
| 21562 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamix Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Montclair, CA
- NPI 1922206283
-
- Physical Therapist
- Westminster, CA
- NPI 1538288204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1205873866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD",
"address_2": "A-1",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634837",
"telephone_number": "909-626-2220",
"fax_number": "888-218-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD",
"address_2": "A-1",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634837",
"telephone_number": "909-626-2220",
"fax_number": "888-218-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DUNG",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.