Individual provider Active NPI

Diep-Kimberly Ngoc Nguyen, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1386294643
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT70101675 Issued in WA
Practice address
3101 Northup Way Ste 101
Bellevue, WA 98004-1435
Phone
(425) 462-5006
Fax
(425) 462-5019
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT70101675 WA Primary
Physical Therapist 225100000X 070028383 IL
Physical Therapist 225100000X LPT-034347 AZ
Physical Therapist 225100000X 5501303012 MI

Addresses

Primary practice location

3101 Northup Way Ste 101
Bellevue, WA 98004-1435

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

1595 W Lake Lansing Rd Ste 130
East Lansing, MI 48823-1317
Phone (517) 333-6692

Other names 1

  • Kim Ngoc Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, AZ, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240122001297 MI Practitioner - Physical Therapist in Private Practice 8820440274 Reassigns benefits to 2 organizations
I20250213000987 IL Practitioner - Physical Therapist in Private Practice 8820440274 Reassigns benefits to 1 organization
I20251015001555 AZ Practitioner - Physical Therapist in Private Practice 8820440274 Reassigns benefits to 1 organization
I20260603004478 WA Practitioner - Physical Therapist in Private Practice 8820440274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

1595 W Lake Lansing Rd
Suite 130
East Lansing, MI 48823-1317
Phone (517) 333-6692

1828 E Florence Blvd
Suite 102
Casa Grande, AZ 85122-4783
Phone (520) 381-6300

3101 Northup Way
Suite 101
Bellevue, WA 98004-1469
Phone (425) 462-5006

732 Northwest Hwy
Athletico Physical Therapy
Cary, IL 60013-2078
Phone (847) 462-0780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT70101675WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Sep 15, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Sep 15, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients
Hulst Jepsen Physical Therapy Inc Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients
Select Medical PastSince Dec 1, 2023 Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

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

2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880

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

1309 N Greenfield Rd
Ste 102
Mesa, AZ 85205
Phone (480) 210-1706

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

732 Northwest Hwy
Cary, IL 60013
Phone (847) 462-0780

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

1595 W Lake Lansing Rd
Ste 130
East Lansing, MI 48823
Phone (517) 333-6692

2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144

1535 44th St SW
Wyoming, MI 49509
Phone (616) 281-1144

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1386294643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NORTHUP WAY STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041435",
            "telephone_number": "425-462-5006",
            "fax_number": "425-462-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 W Lake Lansing Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231317",
            "country_code": "US",
            "telephone_number": "517-333-6692",
            "fax_number": "517-333-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEP-KIMBERLY",
        "middle_name": "NGOC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT70101675",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028383",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034347",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "NGUYEN",
            "middle_name": "NGOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.