Individual provider Active NPI

Timothy Adam Nguyen, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1558826248
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019203 Issued in CO
Practice address
495 Uinta Way Ste 110
Denver, CO 80230-7198
Phone
(303) 856-3299
Fax
(303) 856-7787
NPI assigned
Feb 6, 2019
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0019203 CO Primary
Geriatric Physical Therapist 2251G0304X PTL.0019203 CO

Addresses

Primary practice location

495 Uinta Way Ste 110
Denver, CO 80230-7198

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 856-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201119002559 AR Practitioner - Physical Therapist in Private Practice 0143631390 Reassigns benefits to 1 organization
I20230713000029 CO Practitioner - Physical Therapist in Private Practice 0143631390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Physical Therapy, LLCGroup PAC ID 0941277305, 4 clinicians

Practice addresses (Care Compare)

495 Uinta Way
Suite 110
Denver, CO 80230-7198
Phone (303) 856-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019203COMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Nov 9, 2020 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Nov 9, 2020 Accepting new patients
Synergy Manual Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187

495 Uinta Way
Ste 110
Denver, CO 80230
Phone (303) 856-3299

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1558826248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307198",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIMOTHY",
        "middle_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019203",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "PTL.0019203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.