Jenny Phung, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25169 Issued in CA

Practice address

12131 Brookhurst St
Garden Grove, CA 92840-2863

Phone

(714) 684-8188

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Female

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 CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Global Physical Therapy and WellnessGroup PAC ID 5890103162, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Global Physical Therapy and Wellness

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1124603972

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Global Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
  • NPI 1609523356
  NPD
• Share Speech and Language Co., Inc.

  • Speech-Language Pathologist
  • Gardena, CA
  • NPI 1760918981
  NPD (past)

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1285408120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8681 KATELLA AVE SPC 153",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804278",
            "telephone_number": "626-739-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402863",
            "telephone_number": "714-684-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 W 190th St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902484350",
            "country_code": "US",
            "telephone_number": "310-892-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "JENNY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Soi Phui, RDHAP
• Y Phun, MS
• Anh-Thu Thi Phung, M.D.
• Anne Marie Phung
• Hao My Phung
• Steve Phung, PHARM D
• PHV 2 Rcfe LLC
• Physician at Home Inc
• Physicianpartnersipa, Inc.
• Physicians Choice Surgicenter, LLC

• Occupational Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.