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

Tung Pham

Individual provider Physical Therapist · NPI 1255171807

Tung Pham is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 2024, 2 years ago. Practices with Phoenix Physical Therapy LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
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Practice location Address checks out

2757 S Seneca St Ste B
Wichita, KS 67217-2862
Phone: (316) 260-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (KS)

Record details

NPI number1255171807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address2757 S Seneca St Ste B, Wichita, KS 67217-2862

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Phoenix Physical Therapy Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita