Active NPI
Nathan Nguyen, DPT
- Occupational Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008151
- Practice address
- 2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Dec 2, 2016
- Last updated
- Jul 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6925 | AZ | |
| Occupational Therapist | 225X00000X | 008151 | AZ | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3033 N 44TH St
Suite 100
Phoenix, AZ 85018-7227
Phone (602) 631-3166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008151 | AZ | MD | Occupational Therapist |
| 6925 | AZ | MD | Occupational Therapist |
| 121307 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Spooner Phoenix Physical Therapy, Inc. | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| KC's Physical Therapy LLC | Past | Accepting new patients | |
| Ortho Arizona Surgery Center Gilbert, LLC | Past | Accepting new patients |
Locations
525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303
1675 E Melrose St
Unit 101
Gilbert, AZ 85297
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234
2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234
5281 N 99th Ave
Ste 200
Glendale, AZ 85305
Phone (623) 889-0411
16611 S 40th St
Ste 130
Phoenix, AZ 85048
Phone (480) 706-1199
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
303 E Baseline Rd
Ste 110
Phoenix, AZ 85042
Phone (602) 243-1476
3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161
5040 N 15th Ave
Ste 401
Phoenix, AZ 85015
Phone (602) 274-9811
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298
Organizations & group practices 9
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.
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
dba Spooner Estrella
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1043432115
-
dba Spooner Phoenix Physical Therapy
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1104048248
-
dba Spooner Ahwatukee
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1205057320
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Scottsdale, AZ
- NPI 1053633875
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
-
- Physical Therapist
- Phoenix, AZ
- NPI 1477807485
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1578592705
-
dba Ortho Arizona Surgery Center Gilbert
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1629559208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1649713017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR STE 200-250",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NATHAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-02",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6925",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "008151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.