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

Tom Long Hoang Phan, DPTPT

Individual provider Physical Therapist · NPI 1114455458

Tom Long Hoang Phan, DPTPT is a Physical Therapist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

1 University Blvd
St Augustine, FL 32086-5799
Phone: (904) 829-3411
Fax: (904) 829-3412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT32562 (FL)

Record details

NPI number1114455458
Entity typeIndividual (Type 1)
GenderMale
Credentials DPTPT
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESJuly 21, 2022

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