Individual provider Active NPI

Nghia Vo, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1891524880
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1396130 Issued in TX
Practice address
4364 Heritage Trace Pkwy Ste 108
Fort Worth, TX 76244-9125
Phone
(817) 379-1400
Fax
(817) 379-1404
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1396130 TX Primary

Addresses

Primary practice location

4364 Heritage Trace Pkwy Ste 108
Fort Worth, TX 76244-9125

Mailing address

727 McIntosh Bend Dr
Stafford, TX 77477-4642
Phone (832) 630-8407

Other practice location 1

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone (866) 221-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250319000969 WA Practitioner - Physical Therapist in Private Practice 6103348149 Reassigns benefits to 1 organization
I20260213003034 CA Practitioner - Physical Therapist in Private Practice 6103348149 Reassigns benefits to 3 organizations

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
Kitsap Physical Therapy and Sports Clinic PS IncGroup PAC ID 6507762333, 142 clinicians
On the Move RehabGroup PAC ID 6709195316, 28 clinicians

Practice addresses (Care Compare)

127 Hospital Dr
Suite 101
Vallejo, CA 94589-2500
Phone (707) 552-8795

2500 Cherry Ave
Bremerton, WA 98310-4202
Phone (360) 792-1015

69472 Serenity Rd
Cathedral City, CA 92234-7921
Phone (855) 586-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1396130TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

816 Southampton Rd
Benicia, CA 94510
Phone (707) 512-8901

127 Hospital Dr
Ste 101
Vallejo, CA 94589
Phone (707) 512-7290

2500 Cherry Ave
Bremerton, WA 98310
Phone (360) 620-3847

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1891524880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 MCINTOSH BEND DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774642",
            "telephone_number": "832-630-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 HERITAGE TRACE PKWY STE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449125",
            "telephone_number": "817-379-1400",
            "fax_number": "817-379-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Olympus Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195473",
            "country_code": "US",
            "telephone_number": "866-221-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "NGHIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1396130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.