Hayden Wong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301200 Issued in CA

Practice address

600 Palm Ave Ste 126
Imperial Beach, CA 91932-1246

Phone

(619) 482-3000

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

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.

• Performance Plus Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1144766064
  Medicare reassignment NPD
• The Chiro Office

  • Chiropractor
  • Chula Vista, CA
  • NPI 1245566959
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1285390740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 THORN ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035647",
            "telephone_number": "408-679-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PALM AVE STE 126",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321246",
            "telephone_number": "619-482-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Ruffin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231361",
            "country_code": "US",
            "telephone_number": "858-277-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "HAYDEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Lee Weiss, OD
• Deidre Deacon White, PT, DPT
• Lance Anthony White
• Judith Ann Winhoven, CNM
• Michael David Winstead
• Samuel Wood
• Valentina Zakaria
• Fady Zakko, PHARMD
• Ronald S. Zecha, D.C.

• Physical Therapist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.