Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Bo Duong, PT

Individual provider Physical Therapist · NPI 1891462669

Jimmy Bo Duong, PT is a Physical Therapist in Private Practice in Huntington Beach, California. Qualified in 2021, 5 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16897 Algonquin St Ste 101
Huntington Beach, CA 92649-3811
Phone: (714) 841-6162
Fax: (714) 841-9912
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Additional practice locations (1)

  • 19582 Beach Blvd Ste 130, Huntington Beach, CA 92648-5924 — (714) 841-6162

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 300856 (CA)

Record details

NPI number1891462669
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated

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