Individual provider Active NPI

Tuan L Nguyen, P.T, D.P.T

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1811275464
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2459 Issued in NE
Practice address
8525 Q St
Omaha, NE 68127-3604
Phone
(402) 339-1108
NPI assigned
Aug 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2459 NE Primary
Cardiopulmonary Physical Therapist 2251C2600X 2459 NE
Ergonomics Physical Therapist 2251E1200X 2459 NE
Geriatric Physical Therapist 2251G0304X 2459 NE
Neurology Physical Therapist 2251N0400X 2459 NE
Pediatric Physical Therapist 2251P0200X 2459 NE
Sports Physical Therapist 2251S0007X 2459 NE
Orthopedic Physical Therapist 2251X0800X 2459 NE

Addresses

Primary practice location

8525 Q St
Omaha, NE 68127-3604

Mailing address

9354 Brownley Dr
Omaha, NE 68134-5722
Phone (402) 215-6954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000468 NE Practitioner - Physical Therapist in Private Practice 0345412789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare 3 IncGroup PAC ID 3072586254, 31 clinicians

Practice addresses (Care Compare)

15664 W Maple Rd
Omaha, NE 68116-8147
Phone (402) 991-1110

4606 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211

4614 S 132ND St
Omaha, NE 68137-1764

545 Fortune Dr
Suite 100
Papillion, NE 68046-3426
Phone (402) 991-0333

Merit-based Incentive Payment System (MIPS)

Final score
61.16 of 100Reported as group
Quality
62.36
Improvement activities
40
Cost
39.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2459NEMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare3, Inc. CurrentSince Jun 4, 2012 Accepting new patients
Makovicka Harms Group PC Physical Therapist Past Accepting new patients

Locations

3909 Twin Creek Dr
Ste 102
Bellevue, NE 68123
Phone (402) 991-8959

13336 Industrial Rd
Ste 105
Omaha, NE 68137
Phone (402) 330-3211

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

4606 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

545 Fortune Dr
Papillion, NE 68046
Phone (402) 991-0333

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1811275464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 BROWNLEY DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345722",
            "telephone_number": "402-215-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273604",
            "telephone_number": "402-339-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "P.T, D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2459",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NE",
            "license": "2459",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "2459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.