Active NPI
John V Huynh, PT, DPT
- Physical Therapist
- Garden Grove, CA
National Provider Identifier
1336784883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297521
- Practice address
- 14221 Euclid St Ste F
Garden Grove, CA 92843-4991 - Phone
- (714) 769-5459
- NPI assigned
- Nov 7, 2019
- Last updated
- Nov 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297521 | CA | Primary |
Addresses
Primary practice location
14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Mailing address
2175 Maple St Apt C101
Costa Mesa, CA 92627-2586
Phone (714) 769-5459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dynamixrehab@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamix Physical Therapy Inc. | Single Specialty | Current | Accepting new patients |
| Dynamik Rehab Inc | Single Specialty | Current | Accepting new patients |
Locations
14221 Euclid St
Ste F
Garden Grove, CA 92843
Phone (714) 343-4834
Organizations & group practices 2
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": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1336784883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 MAPLE ST APT C101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272586",
"telephone_number": "714-769-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14221 EUCLID ST STE F",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434991",
"telephone_number": "714-769-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "JOHN",
"middle_name": "V",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297521",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dynamixrehab@gmail.com",
"affiliation": "N",
"address_1": "14221 Euclid St Ste F",
"city": "Garden Grove",
"state": "CA",
"country_code": "US",
"postal_code": "928434991",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.