Individual provider Active NPI

Angelie Vo Lequang, DPT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1356017610
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31928 Issued in AZ
Practice address
750 N Estrella Pkwy Ste 50
Goodyear, AZ 85338-9279
Phone
(623) 882-2992
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 LPT-31928 AZ Primary

Addresses

Primary practice location

750 N Estrella Pkwy Ste 50
Goodyear, AZ 85338-9279

Mailing address

750 N Estrella Pkwy Ste 50
Goodyear, AZ 85338-9279
Phone (623) 882-2992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903000816 AZ Practitioner - Physical Therapist in Private Practice 7416353198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

20770 W Market St
Suite 106
Buckeye, AZ 85396-8042
Phone (623) 278-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jul 25, 2022 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jul 25, 2022 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

Organizations & group practices 4

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1356017610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-882-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 50",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-882-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEQUANG",
        "first_name": "ANGELIE",
        "middle_name": "VO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.