Kristina Wong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT300774 Issued in CA

Practice address

3161 Walnut Ave
Fremont, CA 94538-2216

Phone

(510) 796-1000

NPI assigned

Oct 5, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1316619539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35367 FARNHAM DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601400",
            "telephone_number": "510-449-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 WALNUT AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382216",
            "telephone_number": "510-796-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KRISTINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Wong, PHARM.D
• Jamie Wong, O.D.
• Jeffrey Y Wong, DDS
• Jonathan Wong, MD
• King Ki Wong, RBT
• Lily Hung Wong, P.T., D.P.T., M.S.
• Liza Wong
• Marron Cathleen Wong, M.D.
• Michelle Wong, O.D.
• Milton K Wong, MD

• Physical Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.