Active NPI
Laura Leilani Wong, PT, DPT
- Physical Therapist
- Irvine, CA
National Provider Identifier
1326417254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42947
- Practice address
- 3500 Barranca Pkwy Ste 220
Irvine, CA 92606-8230 - Phone
- (949) 265-2442
- NPI assigned
- Sep 22, 2015
- 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 | 42947 | CA | Primary |
Addresses
Primary practice location
3500 Barranca Pkwy Ste 220
Irvine, CA 92606-8230
Mailing address
1800 E Lambert Rd
Ste. 220
Brea, CA 92821-4370
Phone (714) 256-5074
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 |
|---|---|---|---|
| 42947 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Tustin, CA
- NPI 1215459540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1326417254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E LAMBERT RD",
"address_2": "STE. 220",
"city": "BREA",
"state": "CA",
"postal_code": "928214370",
"telephone_number": "714-256-5074",
"fax_number": "714-256-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY STE 220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068230",
"telephone_number": "949-265-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LAURA",
"middle_name": "LEILANI",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.