Vien Nhu Phan, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

U1-0012275 Issued in DE

Practice address

20930 Dupont Blvd Unit 102
Georgetown, DE 19947-1723

Phone

(919) 258-2714

Fax

(410) 648-4878

NPI assigned

May 7, 2021

Sex

Male

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 DE

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.4

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 and National Provider Directory roles.

• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  Medicare reassignment NPD
• Spine and Orthopedic Specialists

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1164663563
  Medicare reassignment NPD
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051
  NPD
• Spine and Orthopedic Specialists

  • Physical Therapist
  • Lewes, DE
  • NPI 1598642654
  NPD

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1336723188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD UNIT 102",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471723",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VIEN",
        "middle_name": "NHU",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "DE",
            "license": "U1-0012275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pepper, RNC-OB
• Kristina M Perkins, LCSW
• Persante Sleep Care, Inc.
• Erica Jean Persaud, M.ED., LPCMH, NCC
• Krystal Peterson, FNP-C
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Claudia D Pierce, ANP-BC
• Beth Anne Poe, RN
• Christine Porcaro, MOT, OTR/L
• Rose Mary Porter-Fetterman

• Hand Occupational Therapist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Hand Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.