Jacqueline Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

71 Lena PL
Wahiawa, HI 96786-2835

Phone

(714) 600-9618

NPI assigned

May 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enphysio LLC

  • Physical Therapist
  • Mililani, HI
  • NPI 1205530011
  Medicare reassignment NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  HI, Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1821734427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13272 YOCKEY ST APT R",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442077",
            "telephone_number": "714-600-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LENA PL",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862835",
            "telephone_number": "714-600-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 W Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045331",
            "country_code": "US",
            "telephone_number": "714-546-4233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 SE 103rd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162866",
            "country_code": "US",
            "telephone_number": "503-496-5057 x5057",
            "fax_number": "888-795-0947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "HI",
            "license": "5919",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhomeikia Murphy
• National Center for Psychological Services
• Chelsie Neves, PHARMD
• New Leaf Treatment Centre LLC
• Catherine Nguyen Huy, FNP-BC, APRN-RX
• Nu Nguyen, RPH
• San Francisco Kim Nguyen, D.O.
• Laura Marie Nieves, RBT
• Wesley Keiji Nihei, DDS
• Nora Phillips LLC

• Physical Therapist in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.