Individual provider Active NPI

Lily N Wang Hung, DPT MHA MCS CFCE

  • Physical Therapist
  • Buda, TX
National Provider Identifier
1255318259
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015368 Issued in CA
Practice address
1245 Main St Ste 230
Buda, TX 78610-2269
Phone
(512) 400-4437
NPI assigned
Dec 30, 2005
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X FY045 CA
Physical Therapist 225100000X PT015368 CA Primary
Geriatric Physical Therapist 2251G0304X PT15368 CA

Addresses

Primary practice location

1245 Main St Ste 230
Buda, TX 78610-2269

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

6888 Lincoln Ave # B3
Buena Park, CA 90620-4107
Phone (562) 600-0138

Other practice location 2

14327 Imperial Hwy
LA Mirada, CA 90638-1942
Phone (562) 404-2273

Other practice location 3

12440 Firestone Blvd Ste 1015K
Norwalk, CA 90650-4370
Phone (562) 600-0138

Other identifiers 4

IdentifierTypeStateIssuer
10802140OtherCABLUE CROSS ADVANTAGE SENIOR PLAN
OPT153680OtherCABLUE SHIELD
5662490OtherCAFIRST HEALTH
694030OtherCAUNITED HEALTH CARE

Other names 1

  • Mrs. Lily N Wang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050919001062 CA Practitioner - Physical Therapist in Private Practice 4789618836 Practice locations: Norwalk, CA
I20250618003432 TX Practitioner - Physical Therapist in Private Practice 4789618836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12440 Firestone Blvd
Suite 1015
Norwalk, CA 90650-4370
Phone (714) 367-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15368CAMDProfessional Counselor
FY045CAMDPhysical Medicine & Rehabilitation Physician
PT015368CAMDPhysical Therapist
PT15368CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lily Therapy Office & Associates Single Specialty CurrentSince Sep 29, 2014 Accepting new patients
Ideal Physical Therapy of Texas LLC Single Specialty CurrentSince Jun 2, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 2, 2025 Accepting new patients
Theracare Service & Consulting LLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

6888 Lincoln Ave
Ste L
Buena Park, CA 90620
Phone (714) 363-8144

10650 Reagan St
Unit 1462
Los Alamitos, CA 90720

12440 Firestone Blvd
Ste 1015
Norwalk, CA 90650
Phone (714) 367-6761

12440 Firestone Blvd
Ste 1015K
Norwalk, CA 90650
Phone (562) 600-0138

14611 Carmenita Rd
Norwalk, CA 90650
Phone (562) 600-0138

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

15117 Main St
Ste 305
Mill Creek, WA 98012
Phone (714) 363-8144

Organizations & group practices 4

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1255318259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MAIN ST STE 230",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102269",
            "telephone_number": "512-400-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6888 Lincoln Ave # B3",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204107",
            "country_code": "US",
            "telephone_number": "562-600-0138",
            "fax_number": "888-308-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14327 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381942",
            "country_code": "US",
            "telephone_number": "562-404-2273",
            "fax_number": "888-308-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12440 Firestone Blvd Ste 1015K",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906504370",
            "country_code": "US",
            "telephone_number": "562-600-0138",
            "fax_number": "888-308-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG HUNG",
        "first_name": "LILY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "DPT MHA MCS CFCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "FY045",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT015368",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT15368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ADVANTAGE SENIOR PLAN",
            "identifier": "10802140",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT153680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5662490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "694030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "WANG",
            "middle_name": "N",
            "prefix": "MRS.",
            "credential": "PT MHA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.