Individual provider Active NPI

Nathan Nguyen, DPT

  • Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1649713017
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008151 Issued in AZ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170322001340 AZ Practitioner - Occupational Therapist in Private Practice 4587949185 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
008151AZMDOccupational Therapist
6925AZMDOccupational Therapist
121307TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Mar 6, 2017 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 22, 2021 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Mar 6, 2017 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Mar 6, 2017 Accepting new patients
Spooner Phoenix Physical Therapy, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 22, 2021 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.

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.

Verify at the official NPI Registry.