Individual provider Active NPI

Ignatia Teresa Wang, DPT

  • Orthopedic Physical Therapist
  • Seal Beach, CA
National Provider Identifier
1184588998
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
309111 Issued in CA
Practice address
1005 Pacific Coast Hwy
Seal Beach, CA 90740-6214
Phone
(562) 598-5500
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 309111 CA Primary

Addresses

Primary practice location

1005 Pacific Coast Hwy
Seal Beach, CA 90740-6214

Mailing address

12664 Chapman Ave Unit 1313
Garden Grove, CA 92840-4031
Phone (818) 480-2697

Other practice location 1

2290 SE Bristol St
Newport Beach, CA 92660-0746
Phone (949) 261-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127000452 CA Practitioner - Physical Therapist in Private Practice 4789161282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Newsport Physical TherapyGroup PAC ID 8224131396, 5 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

2290 SE Bristol St
Newport Beach, CA 92660-0746
Phone (949) 675-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309111CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newsport Physical Therapy Orthopedic CurrentSince Jan 5, 2026 Accepting new patients
Movement First PastSince Jan 5, 2026 Accepting new patients

Locations

2290 SE Bristol St
Newport Beach, CA 92660
Phone (949) 261-6101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1184588998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12664 CHAPMAN AVE UNIT 1313",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404031",
            "telephone_number": "818-480-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-598-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 SE Bristol St",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926600746",
            "country_code": "US",
            "telephone_number": "949-261-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "IGNATIA",
        "middle_name": "TERESA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "309111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.