Provider Demographics
NPI:1730076928
Name:NGO, DANH THANH
Entity type:Individual
Prefix:
First Name:DANH
Middle Name:THANH
Last Name:NGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2917
Mailing Address - Country:US
Mailing Address - Phone:504-250-5389
Mailing Address - Fax:
Practice Address - Street 1:4621 W NAPOLEON AVE STE 101
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2478
Practice Address - Country:US
Practice Address - Phone:504-302-9700
Practice Address - Fax:504-302-9800
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAA8666225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant