Individual provider Active NPI

Jenny Calara Fong Suet Yuen, PT

  • Physical Therapist
  • Garland, TX
National Provider Identifier
1568282911
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1400787 Issued in TX
Practice address
4430 Lavon Dr Ste 340
Garland, TX 75040-2974
Phone
(972) 495-5416
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 1400787 TX Primary

Addresses

Primary practice location

4430 Lavon Dr Ste 340
Garland, TX 75040-2974

Mailing address

3310 Firewheel Pkwy Apt 5203
Garland, TX 75040-4163
Phone (972) 703-3188

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1400787TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bir JV LLP PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 1

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1568282911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FIREWHEEL PKWY APT 5203",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404163",
            "telephone_number": "972-703-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 LAVON DR STE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402974",
            "telephone_number": "972-495-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG SUET YUEN",
        "first_name": "JENNY",
        "middle_name": "CALARA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1400787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.