Individual provider Active NPI

Quan Viet Tran, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1497230494
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1346255 Issued in TX
Practice address
9301 N Central Expy Ste 451
Dallas, TX 75231-0832
Phone
(214) 220-2468
Fax
(214) 378-3325
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60901361 WA
Physical Therapist 225100000X 1346255 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 451
Dallas, TX 75231-0832

Mailing address

9301 N Central Expy Ste 451
Dallas, TX 75231-0832
Phone (214) 220-2468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608003710 TX Practitioner - Physical Therapist in Private Practice 2769727577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
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)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

6033 W Interstate 20
Therapy Excellence
Arlington, TX 76017-1042
Phone (817) 483-1746

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1346255TXMDPhysical Therapist
60901361WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blacketer Enterprises, Inc Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 10, 2024 Accepting new patients
Agape Physical Therapy Services, PC Physical Therapist PastSince Sep 12, 2022 Accepting new patients

Locations

524 E Lamar Blvd
Ste 130
Arlington, TX 76011
Phone (817) 483-1746

6033 W Interstate 20
Arlington, TX 76017
Phone (817) 483-1746

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 3

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1497230494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 451",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310832",
            "telephone_number": "214-220-2468",
            "fax_number": "214-378-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 451",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310832",
            "telephone_number": "214-220-2468",
            "fax_number": "214-378-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUAN",
        "middle_name": "VIET",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60901361",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1346255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.