Sandra K. Wong, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27363 Issued in CA

Practice address

101 Gauguin Cir
Aliso Viejo, CA 92656-3876

Phone

(949) 702-3992

Fax

(949) 481-2891

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catch a Wave Physical Therapy

  dba San Clemente Physical Therapy

  • Physical Therapist
  • San Clemente, CA
  • NPI 1679082085
  NPD (past)
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)
• Rancho Santa Margarita Physical Therapy Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1477653525
  NPD (past)
• San Clemente Physical Therapy Inc

  • Physical Therapist
  • San Clemente, CA
  • NPI 1134237985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104839562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GAUGUIN CIR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563876",
            "telephone_number": "949-702-3992",
            "fax_number": "949-481-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GAUGUIN CIR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563876",
            "telephone_number": "949-702-3992",
            "fax_number": "949-481-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SANDRA",
        "middle_name": "K.",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Whiteside
• Lauren Wilkinson, M.A.
• Franklin Clifford Wimberly, MA, LMFT
• Cheryle Ann Wing, RN
• Stephen Reed Wolfe, LCSW 136062
• Wood-Schade Chiropractic Inc.
• Deborah Marie Wood-Schade, D.C.
• Terry Allen Wood, RRT, RPSGT, BCB
• Wound Docs Apc (Wound Docs)
• Wright Conscious Counseling, a Psychological Corporation

• Physical Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.