Active NPI
Nancy Wong
- Physical Therapist
- Glendale, CA
National Provider Identifier
1033502737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42084
- Practice address
- 500 W Glenoaks Blvd
Glendale, CA 91202-2813 - Phone
- (818) 637-2127
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42084 | CA | Primary |
Addresses
Primary practice location
500 W Glenoaks Blvd
Glendale, CA 91202-2813
Mailing address
686 S Lincoln Ave
Monterey Park, CA 91755-4066
Phone (626) 283-0596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1033502737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 S LINCOLN AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917554066",
"telephone_number": "626-283-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022813",
"telephone_number": "818-637-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.