Active NPI
Amber Thi Duong, D.P.T.
- Physical Therapist
- Cupertino, CA
National Provider Identifier
1578016911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291792
- Practice address
- 20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112 - Phone
- (408) 252-6076
- Fax
- (408) 252-1159
- NPI assigned
- Aug 3, 2016
- Last updated
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 291792 | CA | Primary |
Addresses
Primary practice location
20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Mailing address
20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Phone (408) 252-6076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ29361Z | Other | CA | MEDICARE GROUP PTAN |
| 1053320325 | Other | CA | TYPE2 NPI |
Other names 1
- Que-Huong Thi Duong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Palm Desert, CA 92260
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Ca PC | Physical Therapist | Current | Accepting new patients |
Locations
95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- San Diego, CA
- NPI 1972330298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1578016911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20823 STEVENS CREEK BLVD STE 200",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142112",
"telephone_number": "408-252-6076",
"fax_number": "408-252-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20823 STEVENS CREEK BLVD STE 200",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142112",
"telephone_number": "408-252-6076",
"fax_number": "408-252-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "AMBER",
"middle_name": "THI",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "ZZZ29361Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE2 NPI",
"identifier": "1053320325",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "QUE-HUONG",
"last_name": "DUONG",
"middle_name": "THI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.