Individual provider Active NPI

Phillip Huang

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1508644600
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020483 Issued in CO
Practice address
3131 S Vaughn Way
Aurora, CO 80014-3511
Phone
(303) 755-1116
NPI assigned
Sep 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 050776 NY
Physical Therapist 225100000X 15337 TN
Physical Therapy Clinic/Center 261QP2000X LPT-033871 AZ
Physical Therapist 225100000X 0020483 CO Primary

Addresses

Primary practice location

3131 S Vaughn Way
Aurora, CO 80014-3511

Mailing address

801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Phone (866) 991-0900

Other practice location 1

801 W Ann Arbor Trl Ste 220
Plymouth, MI 48170-6224
Phone (866) 991-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240909000338 NY Practitioner - Physical Therapist in Private Practice 5597205328
I20250701000676 CA Practitioner - Physical Therapist in Private Practice 5597205328 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
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

3975 5TH Ave
Suite 100
San Diego, CA 92103-3108
Phone (619) 238-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020483COMDPhysical Therapist
15337TNMDPhysical Therapist
LPT-033871AZMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jan 28, 2026 Accepting new patients
Ventura Orthopedics Medical Group, Inc. Physical Therapy Current Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jan 28, 2026 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Physical Therapy Past Accepting new patients
Theraphysics Partners of Colorado Inc Physical Therapy Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

3975 5th Ave
Ste 100
San Diego, CA 92103
Phone (619) 238-4318

3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1508644600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706224",
            "telephone_number": "866-991-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143511",
            "telephone_number": "303-755-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Ann Arbor Trl Ste 220",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706224",
            "country_code": "US",
            "telephone_number": "866-991-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15337",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "LPT-033871",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.