Individual provider Active NPI

John V Huynh, PT, DPT

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1336784883
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297521 Issued in CA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy Inc. Single Specialty CurrentSince Dec 1, 2019 Accepting new patients
Dynamik Rehab Inc Single Specialty CurrentSince Sep 10, 2024 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.

Verify at the official NPI Registry.