Active NPI
Jason Ma Wong, MPT
- Physical Therapist
- Los Altos, CA
National Provider Identifier
1376501411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27604
- Practice address
- 5050 El Camino Real
Suite 210
Los Altos, CA 94022-1530 - Phone
- (650) 559-0011
- Fax
- (650) 559-0012
- NPI assigned
- May 1, 2006
- Sex
- Male
- 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 | 27604 | CA | Primary |
Addresses
Primary practice location
5050 El Camino Real
Suite 210
Los Altos, CA 94022-1530
Mailing address
4 Sorrel LN
San Carlos, CA 94070-1530
Phone (650) 591-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1716 Miramonte Ave
Mountain View, CA 94040-3763
Phone (650) 934-0455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27604 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silicon Valley Hand Therapy | Physical Therapist | Current | Accepting new patients |
| Apogee Rehabilitative Therapy Services | Physical Therapist | Current | Accepting new patients |
Locations
1716 Miramonte Ave
Mountain View, CA 94040
Phone (650) 934-0455
Organizations & group practices 2
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
- Mountain View, CA
- NPI 1275806713
-
- Rehabilitation Clinic/Center
- Mountain View, CA
- NPI 1437536448
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1376501411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SORREL LN",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940701530",
"telephone_number": "650-591-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 EL CAMINO REAL",
"address_2": "SUITE 210",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221530",
"telephone_number": "650-559-0011",
"fax_number": "650-559-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JASON",
"middle_name": "MA",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.