Organization Active NPI

Excellence Physical Therapy Inc

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1275803868
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCELLENCE PHYSICAL THERAPY INC
Practice address
9191 Westminster Ave
Suite 202
Garden Grove, CA 92844-2751
Phone
(714) 705-5372
Fax
(714) 530-7760
NPI assigned
Jan 12, 2012
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Tuan Pham, DPTNPI 1942251905
Title
President
Phone
(714) 705-5372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9191 Westminster Ave
Suite 202
Garden Grove, CA 92844-2751

Mailing address

9191 Westminster Ave
Suite 202
Garden Grove, CA 92844-2751
Phone (714) 705-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000542 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082873096 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

9191 Westminster Ave
Ste 202
Garden Grove, CA 92844
Phone (714) 583-6393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1275803868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "address_2": "SUITE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-705-5372",
            "fax_number": "714-530-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "address_2": "SUITE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-705-5372",
            "fax_number": "714-530-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-705-5372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.