Individual provider Active NPI

Yvan Thi Trinh, PT, DPT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1659898542
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62420 Issued in OR
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

Updated by the provider on Jun 15, 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 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

IdentifierTypeStateIssuer
2155632MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Physioflow CurrentSince Apr 30, 2019 Accepting new patients
Peak Motion, PLLC Physical Therapist PastSince Jul 28, 2024 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.

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.

Verify at the official NPI Registry.