Der-How Huang, D.P.T., C.S.C.S

Key facts

NPI

1619213485

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

38249 (CA)

Practice address

18376 Clark St
Tarzana, CA 91356-3502

Phone

(818) 996-8386

Fax

(818) 996-8979

NPI assigned

Dec 21, 2012

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Ho Rehab Center, Inc Orthopedic Physical Therapist · Tarzana, CA · NPI 1104852839
  Medicare reassignment Care Compare group NPD Authorized official CA
• Harbor Physical Therapy & Sports Medical Orthopedic Physical Therapist · San Pedro, CA · NPI 1255349676
  Medicare reassignment CA
• Repair NB Physical Therapy, Corp Physical Therapist · Newport Beach, CA · NPI 1134622111
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ho Rehab Center, Inc (5 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2024.

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1619213485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18376 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-996-8386",
            "fax_number": "310-547-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18376 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-996-8386",
            "fax_number": "818-996-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DER-HOW",
        "name_prefix": "Mr.",
        "credential": "D.P.T., C.S.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan Hudosh, CCAPP
• Bernard O. Hudson III, M.D.
• Anthony Brain Hughey

All providers in Tarzana, CA · Physical Therapist in California