JACQUELINE DANG TRUONG (PT, DPT, OCS) – Physical Therapist, NPI 1013372283

JACQUELINE DANG TRUONG (PT, DPT, OCS) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS. They hold a License No. 1290020 (TX). The NPI Number for JACQUELINE DANG TRUONG (PT, DPT, OCS) is 1013372283

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE DANG TRUONG (PT, DPT, OCS)
NPI
1013372283
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
15 December 2015
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
2282150700
Graduation Year
2015 (11 years ago)
PAC ID
9133418171
Group Practice PAC ID
1254878325
Professional Enrollment ID
I20231201001432
Address ID
MS395032637GU15476RDXX301

Contacts

Secure Messaging
Jacqueline.truong@atipt.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Other namesUpdated within 12 months

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for JACQUELINE DANG TRUONG (PT, DPT, OCS)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 12315 JUDSON RD STE 310&312

    LIVE OAK, TX 782333277

    Phone: (210) 599-3090

    Type: Location

  • 1400 Stardust Dr

    Diamond Bar, CA 917654328

    Phone: (909) 610-5617

    Type: Location

  • 12315 Judson Rd Ste 310&312

    Live Oak, TX 782333277

    Phone: (210) 599-3090

    Type: Location

  • 42465 HIGHWAY 195

    HALEYVILLE, AL 355657052

    Phone: (256) 350-1764

    Type: Mailing

  • 15476B DEDEAUX RD

    GULFPORT, MS 395032637

    Phone: (228) 539-3232

    Fax: (228) 539-3230

    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: 2023-12-01

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
I20231201001432IPhysical Therapist In Private PracticeMSTBD

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 60440)

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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: 1254878325View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMS
Physical Therapist In Private PracticeAL
Occupational Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS
Occupational Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS
Occupational Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS

Reviews

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Frequently asked questions

How do I look up JACQUELINE DANG TRUONG (PT, DPT, OCS) by NPI?
Use NPI 1013372283 when you need to reference JACQUELINE DANG TRUONG (PT, DPT, OCS) in forms, claims, or directories.
Is JACQUELINE DANG TRUONG (PT, DPT, OCS) currently active in the NPI registry?
CMS-published data lists JACQUELINE DANG TRUONG (PT, DPT, OCS) as an active registrant.
What kind of provider is JACQUELINE DANG TRUONG (PT, DPT, OCS)?
The page reflects Physical Therapist for JACQUELINE DANG TRUONG (PT, DPT, OCS). Clinical services aligned with this taxonomy classification.
Where is JACQUELINE DANG TRUONG (PT, DPT, OCS)'s primary listing?
We display Bolingbrook, Illinois because that is what the record indicates for JACQUELINE DANG TRUONG (PT, DPT, OCS).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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