Individual provider Active NPI

Vyvy Nguyen, PT

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1336717990
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294849 Issued in CA
Practice address
5704 Byron CT
Rocklin, CA 95765-4945
Phone
(916) 241-5953
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 PT294849 CA Primary

Addresses

Primary practice location

5704 Byron CT
Rocklin, CA 95765-4945

Mailing address

5704 Byron CT
Rocklin, CA 95765-4945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616002674 CA Practitioner - Physical Therapist in Private Practice 7719387448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 N Mountain Ave
Suite 310
Upland, CA 91786-5182
Phone (909) 596-4346

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Merit-based Incentive Payment System (MIPS)

Final score
89.24 of 100Reported as group
Quality
62.82
Improvement activities
40
Cost
83.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294849CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - St Francis LLC CurrentSince Mar 1, 2024 Accepting new patients
Premier Orthopaedic Trauma Specialists, PMC Current Accepting new patients
Sports Medicine and Orthopaedic Institute CurrentSince Mar 1, 2024 Accepting new patients

Locations

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

400 N Mountain Ave
Ste 310
Upland, CA 91786
Phone (909) 920-0876

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vyvy.nguyen.1@20474.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1336717990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 BYRON CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 BYRON CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654945",
            "telephone_number": "916-241-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VYVY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.