Active NPI
Paul Tran, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1245610559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024383
- Practice address
- 1642 N Franklin St
Philadelphia, PA 19122-2918 - Phone
- (215) 805-8537
- NPI assigned
- Jun 2, 2015
- Last updated
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003314 | DE | |
| Physical Therapist | 225100000X | PT024383 | PA | Primary |
Addresses
Primary practice location
1642 N Franklin St
Philadelphia, PA 19122-2918
Mailing address
520 S Virgil Ave
Ste 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023
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 |
|---|---|---|---|
| J1-0003314 | DE | MD | Physical Therapist |
| PT024383 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Tran | Physical Therapist | Current | Accepting new patients |
| Miracle Touch Urgent Care | Current | Accepting new patients |
Locations
3932 Wilshire Blvd
Ste 210
Los Angeles, CA 90010
Phone (215) 805-8537
4855 Santa Monica Blvd
Ste 102
Los Angeles, CA 90029
Phone (323) 673-7200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1407609167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1245610559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE",
"address_2": "STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201425",
"telephone_number": "213-365-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 N FRANKLIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191222918",
"telephone_number": "215-805-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PAUL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003314",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.