Active NPI
Wayne Wu, PT, DPT
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1265089957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297115
- Practice address
- 150 N Santa Anita Ave Ste 210
Arcadia, CA 91006-3181 - Phone
- (626) 446-3862
- NPI assigned
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT297115 | CA | Primary |
Addresses
Primary practice location
150 N Santa Anita Ave Ste 210
Arcadia, CA 91006-3181
Mailing address
5951 Sultana Ave
Temple City, CA 91780-1548
Phone (626) 636-6390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6390 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297115 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redeem Physical Therapy & Performance Inc. | Single Specialty | Current | Accepting new patients |
| Americare Medical Center, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Temple City, CA
- NPI 1184330284
Single Specialty
-
- Acupuncturist
- Rosemead, CA
- NPI 1609071414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1265089957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 SULTANA AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801548",
"telephone_number": "626-636-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N SANTA ANITA AVE STE 210",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063181",
"telephone_number": "626-446-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.