Individual provider Active NPI

Mike Huynh

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1619563640
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1359290 Issued in TX
Practice address
1230 Winrock Blvd Apt 5308
Houston, TX 77057-1716
Phone
(503) 442-2206
NPI assigned
Dec 14, 2020
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 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

LicenseStateTypeSpecialty
63722ORMDPhysical Therapist
1359290TXMDPhysical 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.

Verify at the official NPI Registry.