Individual provider Active NPI

Van Nguyen, PT, DPT

  • Pediatric Physical Therapist
  • Clarksville, TN
National Provider Identifier
1679150940
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
13453 Issued in TN
Practice address
215 Dunbar Cave Rd Ste a
Clarksville, TN 37043-8850
Phone
(931) 542-2739
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 13453 TN Primary

Addresses

Primary practice location

215 Dunbar Cave Rd Ste a
Clarksville, TN 37043-8850

Mailing address

1985 Needmore Rd Unit 1310
Clarksville, TN 37042-4791
Phone (816) 699-8110

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13453TNMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Than Words Speech and Feeding Therapy, LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

215 Dunbar Cave Rd
Ste A
Clarksville, TN 37043
Phone (800) 920-0834

Organizations & group practices 1

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1679150940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 NEEDMORE RD UNIT 1310",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424791",
            "telephone_number": "816-699-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DUNBAR CAVE RD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438850",
            "telephone_number": "931-542-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "13453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.