Active NPI
Vivian Phan, DPT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1831034883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP054221T
- Practice address
- 1507 Springfield Pike
Cincinnati, OH 45215-1437 - Phone
- (513) 873-3251
- Fax
- (513) 354-7651
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
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 | CP054221T | OH | Primary |
Addresses
Primary practice location
1507 Springfield Pike
Cincinnati, OH 45215-1437
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (205) 545-2717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603000499 | OH | Practitioner - Physical Therapist in Private Practice | 3971074717 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Orthopaedics and Sports Medicine LTD
Practice addresses (Care Compare)
1507 Springfield Pike
Cincinnati, OH 45215-1437
Phone (513) 873-1482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP054221T | OH | MD | Physical Therapist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1831034883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "205-545-2717",
"fax_number": "513-354-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 SPRINGFIELD PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452151437",
"telephone_number": "513-873-3251",
"fax_number": "513-354-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "VIVIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "CP054221T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.