Active NPI
Mike Huynh
- Physical Therapist
- Houston, TX
National Provider Identifier
1619563640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1359290
- Practice address
- 1230 Winrock Blvd Apt 5308
Houston, TX 77057-1716 - Phone
- (503) 442-2206
- NPI assigned
- Dec 14, 2020
- Last updated
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63722 | OR | |
| Physical Therapist | 225100000X | 1359290 | TX | Primary |
Addresses
Primary practice location
1230 Winrock Blvd Apt 5308
Houston, TX 77057-1716
Mailing address
1230 Winrock Blvd Apt 5308
Houston, TX 77057-1716
Other practice location 1
9220 Kirby Dr Ste 1000
Houston, TX 77054-2534
Phone (713) 383-9700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63722 | OR | MD | Physical Therapist |
| 1359290 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1619563640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 WINROCK BLVD APT 5308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 WINROCK BLVD APT 5308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571716",
"telephone_number": "503-442-2206"
}
],
"practiceLocations": [
{
"address_1": "9220 Kirby Dr Ste 1000",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770542534",
"country_code": "US",
"telephone_number": "713-383-9700",
"fax_number": "713-383-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUYNH",
"first_name": "MIKE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63722",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1359290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.