Timothy Phan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304144 Issued in CA

Practice address

250 E Yale Loop Ste 201
Irvine, CA 92604-4697

Phone

(949) 265-2442

Fax

(949) 265-2448

NPI assigned

Jun 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tim Phan Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coury and Buehler Physical Therapy - Irvine, Inc.Group PAC ID 8527221217, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1477822807

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coury & Buehler Physical Therapy - Lake Forest, Inc.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1316342033
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Newport, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
  • NPI 1508425570

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Anaheim, CA
  • NPI 1891960258
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  • Physical Therapist
  • Irvine, CA
  • NPI 1811655954
  NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Brea, CA
  • NPI 1790709194
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1992482178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-256-5074",
            "fax_number": "714-250-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E YALE LOOP STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044697",
            "telephone_number": "949-265-2442",
            "fax_number": "949-265-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TIMOTHY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "PHAN",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phuoc Huu Phan, DDS
• Shyanne Phan
• Stephen Nguyen Phan
• Sue Phan
• Thi Hai Duong Phan
• Patrick Phanthanusorn, PPS
• Pharmaca Integrative Pharmacy
• Pharmaceutical Care Integration, LLC
• Phase Diagnostics, Inc.
• Sharon Lynn Phelps, PHD

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.