Active NPI
Katrina Lee Wong, DPT
- Orthopedic Physical Therapist
- Los Altos, CA
National Provider Identifier
1053903328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 299881
- Practice address
- 1000 Fremont Ave Ste 108
Los Altos, CA 94024-6054 - Phone
- (650) 947-8500
- Fax
- (650) 947-8501
- NPI assigned
- Feb 9, 2021
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 299881 | CA | Primary |
Addresses
Primary practice location
1000 Fremont Ave Ste 108
Los Altos, CA 94024-6054
Mailing address
1000 Fremont Ave Ste 108
Los Altos, CA 94024-6054
Phone (650) 947-8500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Gladfelter | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Los Altos, CA
- NPI 1881650505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1053903328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE STE 108",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940246054",
"telephone_number": "650-947-8500",
"fax_number": "650-947-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE STE 108",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940246054",
"telephone_number": "650-947-8500",
"fax_number": "650-947-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KATRINA",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "299881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.