Active NPI
Tini D DO, DPT
- Physical Therapist
- Garden Grove, CA
National Provider Identifier
1528089182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28250
- Practice address
- 10882 Westminster Ave
Garden Grove, CA 92843-4988 - Phone
- (714) 530-2364
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28250 | CA | Primary |
Addresses
Primary practice location
10882 Westminster Ave
Garden Grove, CA 92843-4988
Mailing address
11804 Summerwood CT
Fountain Valley, CA 92708-2669
Phone (909) 262-2951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28250 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Huu Phung, M.D., Inc | Current | Accepting new patients | |
| Nuedge Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
13155 Brookhurst St
Garden Grove, CA 92843
Phone (714) 537-8487
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.
-
- Physical Therapist
- Fountain Valley, CA
- NPI 1720406663
-
- Primary Care Clinic/Center
- Garden Grove, CA
- NPI 1508930124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528089182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11804 SUMMERWOOD CT",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082669",
"telephone_number": "909-262-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10882 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434988",
"telephone_number": "714-530-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "TINI",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.