Individual provider Active NPI

Daiduong Nguyen, PT, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1982385852
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29728 Issued in MD
Practice address
1801 Research Blvd Ste 103
Rockville, MD 20850-3172
Phone
(301) 978-7730
Fax
(301) 978-7731
NPI assigned
Jul 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 29728 MD Primary
Physical Therapist 225100000X T17311 MD

Addresses

Primary practice location

1801 Research Blvd Ste 103
Rockville, MD 20850-3172

Mailing address

1801 Research Blvd Ste 103
Rockville, MD 20850-3172
Phone (301) 978-7730

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231217000014 DC Practitioner - Physical Therapist in Private Practice 2769831668 Reassigns benefits to 1 organization
I20250422002167 MA Practitioner - Physical Therapist in Private Practice 2769831668 Reassigns benefits to 1 organization

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
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

30 Glennie St
Worcester, MA 01605-3924
Phone (508) 791-8740

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
95.11
Improvement activities
40
Cost
73.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T17311MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Apr 17, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 17, 2025 Accepting new patients
Rebound Physical Therapy, LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

30 Glennie St
Worcester, MA 01605
Phone (508) 752-1958

1801 Research Blvd
Ste 103
Rockville, MD 20850
Phone (301) 978-7730

Organizations & group practices 4

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1982385852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503172",
            "telephone_number": "301-978-7730",
            "fax_number": "301-978-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503172",
            "telephone_number": "301-978-7730",
            "fax_number": "301-978-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAIDUONG",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29728",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "T17311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.