JIMMY PHAN PT, DPT
NPI 1881131118
Physical Therapist - Geriatrics in Laguna Hills, CA

Q: What is Jimmy Phan's NPI number?

The NPI number for Jimmy Phan is 1881131118. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Q: What is Jimmy Phan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Phan was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2017

24422 AVENIDA DE LA CARLOTA STE 190, LAGUNA HILLS, CA 92653(949) 340-6927 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2019, Mar 17, 2018, Dec 26, 2017 and 1 more (4 updates tracked since 2017).

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About Jimmy Phan Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY PHAN PT, DPT (NPI 1881131118) is an individual geriatrics provider in Laguna Hills, California, licensed in California (PT293952) and active in the NPI registry since January 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881131118

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameJIMMY PHANCredential: PT, DPT

Location Address24422 AVENIDA DE LA CARLOTA STE 190Laguna Hills, CA 92653-3634

Mailing Address24422 Avenida De La Carlota Ste 190Laguna Hills, CA 92653-3634 · (949) 340-6927

Phone(949) 340-6927

Sole ProprietorNo

Enumeration DateJanuary 25, 2017

Last NPPES UpdateAugust 5, 20194 updates tracked since enumeration

✔ NPI 1881131118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in CA · PT293952

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

24422 AVENIDA DE LA CARLOTA STE 190, Laguna Hills, CA 92653

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Secondary Practice Locations 2

Location 110282 Park Ave Apt BGarden Grove, CA 92840-6369 · Phone (714) 251-4810

Location 268 Willow RdMenlo Park, CA 94025-3653 · Phone (866) 839-6979

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLIE FISHER

Physical Therapist

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (949) 340-6927

ZACHARY ESTRADA LPCC

Counselor (Professional)

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (800) 801-9833

MR. MANOUEL OHANESYAN SALMAS

Marriage & Family Therapist

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (800) 801-9833

TIA HEIN SLP

Speech-Language Pathologist

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (949) 340-6927

GAURI VARMA-CHUHAN PTA

Physical Therapy Assistant

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (949) 340-6927

HOLLY OLSEN DPT

Physical Medicine & Rehabilitation

24422 AVENIDA DE LA CARLOTA STE 190
ALISO VIEJO, CA 92653

Orange County (949) 340-6927

JENNIFER LOPEZ

Counselor (Professional)

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (800) 801-9833

BRIANNA BACICH DPT

Physical Therapist (Neurology)

24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653

Orange County (949) 340-6927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Phan's NPI number?

The NPI number for Jimmy Phan is 1881131118. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Jimmy Phan located?

Jimmy Phan practices at 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653. The listed phone number is (949) 340-6927.

What is Jimmy Phan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Jimmy Phan was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.