TIEN JUSTIN LE (P.T.) – Physical Therapist, NPI 1285686782

TIEN JUSTIN LE (P.T.) is a healthcare provider. based in Garden grove, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT 21215 (CA). The NPI Number for TIEN JUSTIN LE (P.T.) is 1285686782

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
TIEN JUSTIN LE (P.T.)
NPI
1285686782
Phone
(714) 489-1922
Address
9362 CROSBY AVE
Enumeration Date
16 May 2006
Last Update Date
14 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142796088
Graduation Year
1995 (31 years ago)
PAC ID
6507886173
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20051128000531
Address ID
CA928072075AN5475XAVEX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for TIEN JUSTIN LE (P.T.)

  • 9362, Crosby Avenue, Koreatown, Garden Grove, Orange County, California, 92844, United States

    GARDEN GROVE, CA 928441507

    Phone: (714) 489-1922

    Type: Mailing

  • West Chapman Avenue, Orange, Orange County, California, 92868, United States

    ORANGE, CA 928681505

    Phone: (714) 748-6133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000531IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92844)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is TIEN JUSTIN LE (P.T.)'s NPI number?
TIEN JUSTIN LE (P.T.)'s NPI is 1285686782 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TIEN JUSTIN LE (P.T.)?
For scheduling context, TIEN JUSTIN LE (P.T.) is shown as active in the registry.
How would a patient describe TIEN JUSTIN LE (P.T.)'s focus?
For TIEN JUSTIN LE (P.T.), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is TIEN JUSTIN LE (P.T.) registered?
Use Garden Grove, California as the headline location for TIEN JUSTIN LE (P.T.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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