Individual provider Active NPI

Tia Danae Nguyen, PT, DPT

  • Physical Therapist
  • National City, CA
National Provider Identifier
1457136269
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3400 E 8TH St Ste 108
National City, CA 91950-3168
Phone
(619) 482-3000
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 Primary

Addresses

Primary practice location

3400 E 8TH St Ste 108
National City, CA 91950-3168

Mailing address

3400 E 8TH St Ste 108
National City, CA 91950-3168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002324 CA Practitioner - Physical Therapist in Private Practice 6305290164 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
Performance Plus Physical Therapy, Inc.Group PAC ID 1850668773, 19 clinicians

Practice addresses (Care Compare)

1392 E Palomar St
Suite 503
Chula Vista, CA 91913-1895
Phone (619) 482-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Plus Physical Therapy, Inc. Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
The Chiro Office PastSince Aug 28, 2023 Accepting new patients

Locations

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

600 Palm Ave
Ste 126
Imperial Beach, CA 91932
Phone (619) 332-4200

3400 E 8th St
Ste 108
National City, CA 91950
Phone (619) 482-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1457136269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168",
            "telephone_number": "619-482-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIA",
        "middle_name": "DANAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.