Active NPI
Khoa V Nguyen, PT
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2120 Orinoco Dr Ste 200
Orlando, FL 32837-8932 - Phone
- (407) 916-6167
- NPI assigned
- Sep 27, 2021
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2120 Orinoco Dr Ste 200
Orlando, FL 32837-8932
Mailing address
1825 Snaresbrook Way
Orlando, FL 32837-6585
Phone (407) 916-6167
Other practice location 1
1301 E M St
Torrington, WY 82240-3521
Phone (307) 532-5355
Other practice location 2
3315 10th St
Gering, NE 69341-1731
Phone (308) 633-5361
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | khoa.nguyen@maxperformancetherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1825 Snaresbrook Way
Orlando, FL 32837-6585
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Physical Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
| Max Performance Therapy | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Single Specialty | Past | Accepting new patients |
| North Platte Physical Therapy Services, Inc. | Single Specialty | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
2120 Orinoco Dr
Ste 200
Orlando, FL 32837
Phone (407) 916-6167
3315 10th St
Gering, NE 69341
Phone (308) 633-5361
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
Single Specialty
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1205546280
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
Single Specialty
-
- Physical Therapist
- Douglas, WY
- NPI 1093914111
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1801567151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 SNARESBROOK WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376585",
"telephone_number": "407-916-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 ORINOCO DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378932",
"telephone_number": "407-916-6167"
}
],
"practiceLocations": [
{
"address_1": "1301 E M St",
"address_purpose": "LOCATION",
"city": "Torrington",
"state": "WY",
"postal_code": "822403521",
"country_code": "US",
"telephone_number": "307-532-5355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3315 10th St",
"address_purpose": "LOCATION",
"city": "Gering",
"state": "NE",
"postal_code": "693411731",
"country_code": "US",
"telephone_number": "308-633-5361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOA",
"middle_name": "V",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khoa.nguyen@maxperformancetherapy.com",
"affiliation": "N",
"address_1": "2120 Orinoco Dr Ste 200",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328378932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.