Individual provider Active NPI

Kevin Nguyen, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1639659683
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1308708 Issued in TX
Practice address
11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone
(281) 469-8163
Fax
(281) 469-5559
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 1308708 TX Primary

Addresses

Primary practice location

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635

Mailing address

11242 FM 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163

Other practice location 1

9055 Katy Fwy Ste 440
Houston, TX 77024-1631
Phone (713) 464-8375

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1639659683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653635",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 Katy Fwy Ste 440",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241631",
            "country_code": "US",
            "telephone_number": "713-464-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1308708",
            "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 Aug 27, 2020; 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.