Active NPI
Dinh Dinh Tran, PT
- Physical Therapist
- Boston, MA
National Provider Identifier
1548283377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15716
- Practice address
- 30 Kneeland St
3
Boston, MA 02111-1505 - Phone
- (617) 719-7060
- Fax
- (781) 961-4076
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- 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 | 15716 | MA | Primary |
Addresses
Primary practice location
30 Kneeland St
3
Boston, MA 02111-1505
Mailing address
17 Washington Drive
Randolph, MA 02368
Phone (617) 719-7060
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0395986 | Medicaid | MA | |
| 307652 | Other | MA | HARVARD PILGRIM |
| Y67990 | Other | MA | BLUECROSS BLUESHIELD |
| 0024698 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 686971 | Other | MA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000714 | MA | Practitioner - Physical Therapist in Private Practice | 0941234058 | Practice locations: Boston, MA |
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)
30 Kneeland St
Boston, MA 02111-1505
Phone (617) 719-7060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548283377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WASHINGTON DRIVE",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "02368",
"telephone_number": "617-719-7060",
"fax_number": "781-961-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 KNEELAND ST",
"address_2": "3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111505",
"telephone_number": "617-719-7060",
"fax_number": "781-961-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DINH",
"middle_name": "DINH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0395986",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "307652",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "Y67990",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0024698",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "686971",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
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.
- 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.