Individual provider Active NPI

An N Hoang, DPT

  • Physical Therapist
  • Loma Linda, CA
National Provider Identifier
1578043642
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60928591 Issued in WA
Practice address
25783 Sunrise Way
Loma Linda, CA 92354-3826
Phone
(626) 739-8922
NPI assigned
Aug 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 295229 CA
Physical Therapist 225100000X PT60928591 WA Primary

Addresses

Primary practice location

25783 Sunrise Way
Loma Linda, CA 92354-3826

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610000798 WA Practitioner - Physical Therapist in Private Practice 8527302520 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
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

4935 Point Fosdick Dr NW
Suite F200 Andf300
Gig Harbor, WA 98335-1851
Phone (253) 258-3355

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295229CAMDPhysical Therapist
PT60928591WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 22, 2019 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Apr 22, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

20821 Sr 410 E
Bonney Lake, WA 98391
Phone (253) 863-7510

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

4935 Point Fosdick Dr
#F200
Gig Harbor, WA 98335

4935 Point Fosdick Dr
Ste F200
Gig Harbor, WA 98335
Phone (253) 258-3355

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

5605 100th St SW
Ste B
Lakewood, WA 98499
Phone (253) 284-9800

3912 10th St SE
#101
Puyallup, WA 98374
Phone (253) 848-4700

15614 Meridian E
Ste 400
Puyallup, WA 98375
Phone (253) 840-5511

16515 Meridian E
Ste 202B
Puyallup, WA 98375
Phone (253) 466-3178

4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202

3315 S 23rd St
Ste 210
Tacoma, WA 98405
Phone (253) 572-8684

11112 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-1103

Organizations & group practices 2

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": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1578043642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25783 SUNRISE WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543826",
            "telephone_number": "626-739-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "AN",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-18",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295229",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60928591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.