Dr. Thanh Bach, PT, DPT
Physical Therapist in Vallejo, CA. Individual provider (NPI-1).
NPI number1396576401
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1396576401
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thanh Bach
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2024
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 306600 | CA | Yes |
Practice location
975 Sereno DrVallejo, CA 94589-2441
Phone 707-651-2298
Mailing address
975 Sereno Drive, 3rd Floor RehabilitationVallejo, CA 94589
Phone 415-531-4843
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 132 Physical Therapist providers in Vallejo · All 3,369 providers in Vallejo
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