Active NPI
Kang Thao
- Physical Therapist
- Modesto, CA
National Provider Identifier
1306759808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310911
- Practice address
- 1524 McHenry Ave
Modesto, CA 95350-4500 - Phone
- (209) 722-4842
- NPI assigned
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 310911 | CA | Primary |
Addresses
Primary practice location
1524 McHenry Ave
Modesto, CA 95350-4500
Mailing address
2821 Glow Rd
Riverbank, CA 95367-9460
Phone (209) 628-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1306759808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 GLOW RD",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953679460",
"telephone_number": "209-628-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504500",
"telephone_number": "209-722-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAO",
"first_name": "KANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.