Individual provider Active NPI

Tony Tran

  • Physical Therapist
  • Gardnerville, NV
National Provider Identifier
1780053694
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3926 Issued in NV
Practice address
1573 Muller Pkwy
Gardnerville, NV 89410-7918
Phone
(775) 782-6620
NPI assigned
Sep 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60572414 WA
Physical Therapist 225100000X 3926 NV Primary

Addresses

Primary practice location

1573 Muller Pkwy
Gardnerville, NV 89410-7918

Mailing address

1010 N 102ND St Ste 300
Omaha, NE 68114-2122
Phone (208) 740-1615

Other practice location 1

5850 Polaris Ave Ste 400
Las Vegas, NV 89118-3184
Phone (702) 739-9957

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3926NVMDPhysical Therapist
PT 60572414WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince May 14, 2022 Accepting new patients
Physical Rehabilitation Group, LLC Physical Therapist CurrentSince May 14, 2022 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince May 14, 2022 Accepting new patients
Physical Rehabilitation Group Physical Therapist PastSince May 14, 2022 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

105 Physicians Park Dr
Clinton, SC 29325
Phone (864) 358-7415

113 Professional Park Rd
Columbia, SC 29229
Phone (803) 732-5887

220 Roper Mountain Road Ext
Greenville, SC 29615
Phone (864) 242-1163

1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396

Organizations & group practices 5

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1780053694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 102ND ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142122",
            "telephone_number": "208-740-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 MULLER PKWY",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107918",
            "telephone_number": "775-782-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Polaris Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891183184",
            "country_code": "US",
            "telephone_number": "702-739-9957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60572414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.