Vinh Quoc Chung, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60220972 Issued in WA

Practice address

2964 Limited LN NW Ste a
Olympia, WA 98502-4577

Phone

(360) 704-7276

Fax

(360) 704-7277

NPI assigned

Sep 29, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Functional Health Consulting, LLC

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1871801522
  Medicare reassignment Care Compare group NPD
• Pro-Active Sportsmed PLLC

  • Orthopedic Physical Therapist
  • Tumwater, WA
  • NPI 1861612335
  Medicare reassignment NPD
• Functional Health Consulting, LLC

  • Chiropractor
  • Renton, WA
  • NPI 1598548877
  NPD

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1245514926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 6TH AVE SE STE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-455-4448",
            "fax_number": "360-455-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 LIMITED LN NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024577",
            "telephone_number": "360-704-7276",
            "fax_number": "360-704-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "VINH",
        "middle_name": "QUOC",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60220972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath Christianson, FNP-BC
• Carin Lea Christy, LMHC
• Samantha Christy
• Nicole Brianne Chryst, LMP
• Angela Renee Chung, DPT
• Gloria Chunn, BA
• Daniel Arthur Churches, P.T.
• Maria Ciani, M.D.
• Andrea Cigliola, PA-C
• Lutricia Levette Cisco, RN

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.