Individual provider Active NPI

Thao-Tien Ngoc Luu, DPT

  • Physical Therapist
  • Norwich, NY
National Provider Identifier
1649645227
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62-039828 Issued in NY
Practice address
26 Conkey Ave
Seco Physical Therapy
Norwich, NY 13815-1756
Phone
(607) 334-5010
Fax
(607) 336-7326
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 62-039828 NY Primary

Addresses

Primary practice location

26 Conkey Ave
Seco Physical Therapy
Norwich, NY 13815-1756

Mailing address

1665 Wesley Ave
Utica, NY 13502-4846
Phone (315) 327-5737

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
62-039828NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Performance Physical Therapy PLLC Physical Therapist PastSince Apr 3, 2023 Accepting new patients
Seco Occupational Therapy PC Past Accepting new patients

Organizations & group practices 2

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": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1649645227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 WESLEY AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024846",
            "telephone_number": "315-327-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CONKEY AVE",
            "address_2": "SECO PHYSICAL THERAPY",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151756",
            "telephone_number": "607-334-5010",
            "fax_number": "607-336-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "THAO-TIEN",
        "middle_name": "NGOC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62-039828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.