Individual provider Active NPI

Lan Anh Truong, DPT

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1619525797
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15632 Sunquat Dr
Winter Garden, FL 34787-5078
Phone
(407) 595-8962
NPI assigned
Aug 31, 2019
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 NU Primary

Addresses

Primary practice location

15632 Sunquat Dr
Winter Garden, FL 34787-5078

Mailing address

14422 Shoreside Way
Suite 110 PMB 169
Winter Garden, FL 34787-4510
Phone (407) 595-8962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106000777 FL Practitioner - Physical Therapist in Private Practice 9830523588 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Rehabilitation PLLCGroup PAC ID 4385984871, 11 clinicians

Practice addresses (Care Compare)

14215 W Colonial Dr
Winter Garden, FL 34787-4208
Phone (407) 614-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Lake Mary LLC Physical Therapist CurrentSince Feb 9, 2020 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Harry Physical Therapy & Wellness, PLLC CurrentSince Aug 24, 2021 Accepting new patients
Unified Rehabilitation PLLC CurrentSince Jul 13, 2020 Accepting new patients
Physiotherapy Works LLC Physical Therapist PastSince Sep 29, 2019 Accepting new patients

Locations

307 Cranes Roost Blvd
Ste 2040
Altamonte Springs, FL 32701
Phone (407) 807-7129

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

925 Williston Park Pt
Ste 1001
Lake Mary, FL 32746
Phone (407) 732-6926

14215 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 595-8962

14422 Shoreside Way
Ste 110
Winter Garden, FL 34787

Organizations & group practices 5

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": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1619525797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 SHORESIDE WAY",
            "address_2": "SUITE 110 PMB 169",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874510",
            "telephone_number": "407-595-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15632 SUNQUAT DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875078",
            "telephone_number": "407-595-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "LAN ANH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.