Active NPI
Yvan Thi Trinh, PT, DPT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62420
- Practice address
- 16303 NE 15TH St
Ste a
Vancouver, WA 98684-4189 - Phone
- (503) 888-6353
- Fax
- (503) 926-6397
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62420 | OR | Primary |
Addresses
Primary practice location
16303 NE 15TH St
Ste a
Vancouver, WA 98684-4189
Mailing address
7324 SW Virginia Ave
Portland, OR 97219-3039
Phone (503) 888-6353
Other practice location 1
25030 SW Parkway Ave Ste 100
Wilsonville, OR 97070-9816
Phone (503) 582-1073
Other practice location 2
1554 Garden St Ste 103
West Linn, OR 97068-3278
Phone (503) 723-0347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155632 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190815003226 | WA | Practitioner - Physical Therapist in Private Practice | 8527325885 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Miami, LM Miller School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7324 SW Virginia Ave
Portland, OR 97219-3039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physioflow | Current | Accepting new patients | |
| Peak Motion, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
16303 NE 15th St
Ste A
Vancouver, WA 98684
Phone (503) 888-6353
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1063996585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1659898542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 SW VIRGINIA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193039",
"telephone_number": "503-888-6353",
"fax_number": "503-926-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16303 NE 15TH ST",
"address_2": "STE A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844189",
"telephone_number": "503-888-6353",
"fax_number": "503-926-6397"
}
],
"practiceLocations": [
{
"address_1": "25030 SW Parkway Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970709816",
"country_code": "US",
"telephone_number": "503-582-1073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1554 Garden St Ste 103",
"address_purpose": "LOCATION",
"city": "West Linn",
"state": "OR",
"postal_code": "970683278",
"country_code": "US",
"telephone_number": "503-723-0347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRINH",
"first_name": "YVAN",
"middle_name": "THI",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2155632",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.