Individual provider Active NPI

Justin Nguyen, DPT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1255206629
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
435 Saint Michaels Dr Ste A201
Santa Fe, NM 87505-7644
Phone
(505) 982-5629
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 Primary

Addresses

Primary practice location

435 Saint Michaels Dr Ste A201
Santa Fe, NM 87505-7644

Mailing address

3107 Birch Run
Adrian, MI 49221-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260121001019 NM Practitioner - Physical Therapist in Private Practice 1153808209 Reassigns benefits to 1 organization
I20260401000000 WA Practitioner - Physical Therapist in Private Practice 1153808209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTP IncGroup PAC ID 0547696247, 9 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

435 Saint Michaels Dr
Suite A201
Santa Fe, NM 87505-7644
Phone (505) 982-5629

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
PTP Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients

Locations

1350 Central Ave
Ste 105
Los Alamos, NM 87544
Phone (505) 662-3384

435 Saint Michaels Dr
Ste A201
Santa Fe, NM 87505
Phone (505) 982-5629

Organizations & group practices 3

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1255206629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 BIRCH RUN",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE A201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057644",
            "telephone_number": "505-982-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.