Active NPI
Sang Truong, MSPT
- Physical Therapist
- Everett, WA
National Provider Identifier
1629264999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00010759
- Practice address
- 1615 75TH St SW Ste 210
Everett, WA 98203-6293 - Phone
- (425) 261-4780
- NPI assigned
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006725 | CT | |
| Physical Therapist | 225100000X | 33473 | CA | |
| Physical Therapist | 225100000X | 00010759 | WA | Primary |
| Occupational Therapist | 225X00000X | 00010759 | WA |
Addresses
Primary practice location
1615 75TH St SW Ste 210
Everett, WA 98203-6293
Mailing address
13426 Greenwood Ave N.
#103
Seattle, WA 98133
Phone (203) 300-3078
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006725 | CT | MD | Physical Therapist |
| 00010759 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1629264999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13426 GREENWOOD AVE N.",
"address_2": "#103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "203-300-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 75TH ST SW STE 210",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036293",
"telephone_number": "425-261-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "SANG",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006725",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33473",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00010759",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00010759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.