Individual provider Active NPI

Michael Tran

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1861272833
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61651705 Issued in WA
Practice address
405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470
Phone
(425) 392-6804
NPI assigned
Oct 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27107 MA
Physical Therapist 225100000X MD
Physical Therapist 225100000X PT61651705 WA Primary

Addresses

Primary practice location

405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone (617) 874-2225

Other practice location 2

817 Maiden Choice Ln Ste 106
Baltimore, MD 21228-3971
Phone (443) 297-1862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240424000235 MD Practitioner - Physical Therapist in Private Practice 4284073255 Reassigns benefits to 1 organization
I20251121003429 MA Practitioner - Physical Therapist in Private Practice 4284073255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians
Professional Physical Therapy and Sports Medicine, LLCGroup PAC ID 5294624771, 11 clinicians

Practice addresses (Care Compare)

319 A Southbridge St
Suite 150
Auburn, MA 01501-2568
Phone (508) 832-2628

620 Old W Central St
Franklin, MA 02038-2912
Phone (508) 528-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27107MAMDPhysical Therapist
PT61651705WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Professional Physical Therapy & Sports Medicine, LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
DG Physical Therapy PC CurrentSince Sep 15, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Sep 15, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Apr 1, 2024 Accepting new patients
Ati Holdings, LLC PastSince Apr 1, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

319A Southbridge St
Ste 150
Auburn, MA 01501
Phone (508) 832-2628

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

340 E Central St
#104
Franklin, MA 02038
Phone (508) 528-6100

620 Old West Central St
Franklin, MA 02038
Phone (508) 528-6100

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

817 Maiden Choice Ln
Catonsville, MD 21228
Phone (443) 297-1862

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 10

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1861272833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Hyde Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "MA",
            "postal_code": "021362819",
            "country_code": "US",
            "telephone_number": "617-874-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Maiden Choice Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212283971",
            "country_code": "US",
            "telephone_number": "443-297-1862",
            "fax_number": "410-701-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27107",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61651705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.