Individual provider Active NPI

Charlie Thang Truong, RPT, ATC

  • Physical Therapist
  • Westminster, CA
National Provider Identifier
1508828799
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25387 Issued in CA
Practice address
14571 Magnolia St
Suite 201
Westminster, CA 92683-5574
Phone
(714) 891-5453
Fax
(714) 891-5346
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT25387 CA Primary

Addresses

Primary practice location

14571 Magnolia St
Suite 201
Westminster, CA 92683-5574

Mailing address

10808 Churchill PL
Tustin, CA 92782-1347
Phone (714) 891-5453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713001081 CA Practitioner - Physical Therapist in Private Practice 8628004603 Practice locations: Westminster, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14571 Magnolia St
Suite 105
Westminster, CA 92683-5575
Phone (714) 614-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Pain Center Past Accepting new patients
Active Sports Rehab Physical Therapy, Inc. Physical Therapist PastSince May 16, 2021 Accepting new patients
Recovercare Therapy Group, Inc. Physical Therapist Past Accepting new patients

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508828799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 CHURCHILL PL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821347",
            "telephone_number": "714-891-5453",
            "fax_number": "714-891-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "SUITE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835574",
            "telephone_number": "714-891-5453",
            "fax_number": "714-891-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "CHARLIE",
        "middle_name": "THANG",
        "name_prefix": "Mr.",
        "credential": "RPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.