Individual provider Active NPI

Claire Hong an Phan, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1912680810
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1716 Miramonte Ave
Mountain View, CA 94040-3763
Phone
(650) 934-0455
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

1716 Miramonte Ave
Mountain View, CA 94040-3763

Mailing address

3430 Duchess CT
San Jose, CA 95132-2012
Phone (408) 518-1594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001646 CA Practitioner - Physical Therapist in Private Practice 2961856141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Apogee Rehabilitative Therapy ServicesGroup PAC ID 9739343492, 8 clinicians

Practice addresses (Care Compare)

1716 Miramonte Ave
Mountain View, CA 94040-3763
Phone (650) 934-0455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Hand Therapy Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients
Apogee Rehabilitative Therapy Services Physical Therapist CurrentSince Sep 14, 2023 Accepting new patients

Locations

1716 Miramonte Ave
Mountain View, CA 94040
Phone (650) 934-0455

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1912680810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 DUCHESS CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322012",
            "telephone_number": "408-518-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 MIRAMONTE AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403763",
            "telephone_number": "650-934-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "CLAIRE",
        "middle_name": "HONG AN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.