Individual provider Active NPI

Paul Tran, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1245610559
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024383 Issued in PA
Practice address
1642 N Franklin St
Philadelphia, PA 19122-2918
Phone
(215) 805-8537
NPI assigned
Jun 2, 2015
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
J1-0003314DEMDPhysical Therapist
PT024383PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Tran Physical Therapist CurrentSince Nov 26, 2023 Accepting new patients
Miracle Touch Urgent Care CurrentSince Mar 17, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.