Tien Van Phan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9641 Issued in AZ

Practice address

400 W Arbrook Blvd Ste 151
Arlington, TX 76014-3181

Phone

(817) 472-8383

Fax

(817) 472-8386

NPI assigned

Apr 5, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Donnie Van Phan Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Blacketer Enterprises, IncGroup PAC ID 4981884905, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.26 of 100Reported as group

Quality

89.74

Improvement activities

40

Cost

61.81

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.

• Blacketer Enterprises, Inc

  dba Therapy Excellence

  • Physical Therapy Clinic/Center
  • Arlington, TX
  • NPI 1295046050

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment Care Compare group NPD
• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164
  Medicare reassignment NPD
• Endeavor Rehab Center Inc

  dba Athens Physical Therapy

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• Agape Physical Therapy Services, PC

  dba Agape Physical Therapy

  • Physical Therapist
  • Brockport, NY
  • NPI 1841200649
  NPD (past)
• Strength Training Inc

  dba STI Therapy Division

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)
• Strength Training Inc

  dba STi Therapy Division

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518925569
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1366708158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 BIG BEND LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023510",
            "telephone_number": "612-349-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143181",
            "telephone_number": "817-472-8383",
            "fax_number": "817-472-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TIEN",
        "middle_name": "VAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9641",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1235831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNIE",
            "last_name": "PHAN",
            "middle_name": "VAN",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Phan, D.D.S
• Christy Phan, PHARM D
• Khuong Dinh Phan, D.O.
• Ly K Phan, O.D.
• Paulina Phuong Phan, O.D.
• Yen Phan, DO
• Pharmaceutical Development Group LLC (RX-Direct Home Delivery)
• Pharmacy Concepts LTD
• Pharmacy Depot, LLC (Pharmacy Depot)
• Emily Phelps, MSN, RNC-OB, C-EFM

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.