TRACY TRAN PHYSICAL THERAPY (NPI# 1518578186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518578186 |
| Entity Type | Organization |
| Organization Name | TRACY TRAN PHYSICAL THERAPY |
| Practice Address |
5166 Eagle Rock Blvd Los Angeles CA 90041-1115 |
| Practice Telephone | 9494194776 |
| Mailing Telephone | 9494194776 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Authorized Official Name | TRACY TRAN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9494194776 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
5166 EAGLE ROCK BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1770148132 | Rosette Physical Therapy, P.c | Clinic/Center | 6707 Springpark Ave Apt 6, Los Angeles, CA 90056-2305 | 2019-05-01 |
| 1225594815 | Phzio New Jersey, LLC | Clinic/Center | 2019 Clyde Ave, Los Angeles, CA 90016-1012 | 2019-02-19 |
| 1518459346 | Jason Ferine Physical Therapy Inc | Clinic/Center | 2300 Westwood Blvd Ste 100, Los Angeles, CA 90064-2045 | 2018-06-06 |
| 1609366319 | Jodi Loeffler Physical Therapy Inc | Clinic/Center | 3730 Moore St, Los Angeles, CA 90066-3530 | 2018-05-17 |
| 1275041964 | Clark Consulting and Physical Therapy Inc | Clinic/Center | 8436 W 3rd St Ste 602, Los Angeles, CA 90048-4186 | 2018-01-16 |
| 1932627163 | Regents of The Univ of California | Clinic/Center | 1131 Wilshire Boulevard, Suite 200, Los Angeles, CA 90404-1249 | 2017-09-08 |
| 1295275956 | Pt Stop Physical Therapy & Wellness, Inc | Clinic/Center | 3407 W 6th St Ste 514, Los Angeles, CA 90020-2552 | 2017-02-28 |
| 1740726470 | Steele Physical Therapy Inc | Clinic/Center | 742 S. Bronson Ave, Los Angeles, CA 90005 | 2017-01-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
Please comment or provide details below to improve the information on TRACY TRAN PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.