Individual provider Active NPI

Joyce H Wondolowski, DPT, PHD

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1225553043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293505 Issued in CA
Practice address
3294 E Spring St
Long Beach, CA 90806-2426
Phone
(562) 988-3570
NPI assigned
Aug 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293505 CA Primary

Addresses

Primary practice location

3294 E Spring St
Long Beach, CA 90806-2426

Mailing address

3294 E Spring St
Long Beach, CA 90806-2426
Phone (562) 988-3570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918000854 CA Practitioner - Physical Therapist in Private Practice 9638443419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Balance Lab Physical Therapy and Fitness PCGroup PAC ID 7315200797, 11 clinicians

Practice addresses (Care Compare)

2818 Santa Monica Blvd
Santa Monica, CA 90404-2410
Phone (424) 272-9589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
293505CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christy Malonzo Physical Therapist Inc. & Manjiri Dahdul Physical Ther Physical Therapist CurrentSince Aug 14, 2017 Accepting new patients

Locations

3294 E Spring St
Long Beach, CA 90806
Phone (562) 852-4212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225553043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062426",
            "telephone_number": "562-988-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062426",
            "telephone_number": "562-988-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDOLOWSKI",
        "first_name": "JOYCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.