Trang Phung, CH61614560

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61614560 Issued in WA

Practice address

104 Pike St Ste 210
Seattle, WA 98101-2010

Phone

(206) 623-2225

NPI assigned

Jan 11, 2019

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiro One Wellness Center of Pike Street PLLCGroup PAC ID 2466800560, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiro One Wellness Center of Pike Street PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1164294484
  Medicare reassignment Care Compare group NPD
• Devine Chiropractic and Rehab Center

  dba Devine Chiropractic and Rehab Center, P.S.

  • Chiropractor
  • Seattle, WA
  • NPI 1922291699
  NPD
• The Smile Store, LLC

  • Denturist
  • Seaside, OR
  • NPI 1629578539
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1538633664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PIKE ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012010",
            "telephone_number": "206-623-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PIKE ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012010",
            "telephone_number": "206-623-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "TRANG",
        "credential": "CH61614560",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61614560",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60543719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Phu
• Natalie Phu, RDH
• Diana Victoria Phung, PHARMD
• Kevin Sang Phung, PHARM.D.
• Lam Minh Phung, D.O
• Natchanun Phunthanateerakul, ND
• Physical Therapy Dynamix, PLLC
• Physical Therapy Motion Lab (PT Motion Lab)
• Physical Therapy Specialties of Seattle P S
• Physical Therapy Works, PS

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.