Active NPI
Mona Wong, DPT
- Physical Therapist
- Daly City, CA
National Provider Identifier
1366746224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35817
- Practice address
- 333 Gellert Blvd
Ste. 150
Daly City, CA 94015-2621 - Phone
- (866) 758-4700
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- 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 | 35817 | CA | Primary |
Addresses
Primary practice location
333 Gellert Blvd
Ste. 150
Daly City, CA 94015-2621
Mailing address
2811 Flores St Apt 5
San Mateo, CA 94403-2754
Phone (650) 581-1304
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 |
|---|---|---|---|
| 35817 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Healthcare | 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.
-
- Rehabilitation Hospital
- Daly City, CA
- NPI 1376788166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1366746224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 FLORES ST APT 5",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032754",
"telephone_number": "650-581-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GELLERT BLVD",
"address_2": "STE. 150",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152621",
"telephone_number": "866-758-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MONA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.