NPIMap

Organization Active NPI

State-of-the-Art Physical Therapy, Inc.

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1437179959
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13997 Issued in CA
Legal business name
STATE-OF-THE-ART PHYSICAL THERAPY, INC.
Practice address
2492 Walnut Ave Ste 140
Tustin, CA 92780-6953
Phone
(714) 544-2188
Fax
(714) 544-2189
NPI assigned
Jul 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian William Wong, PTNPI 1255534418
Title
Owner
Phone
(714) 544-2188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT13998 CA
Physical Therapist 225100000X PT13997 CA Primary
Sports Physical Therapist 2251S0007X PT13998 CA
Orthopedic Physical Therapist 2251X0800X PT13997 CA

Addresses

Primary practice location

2492 Walnut Ave Ste 140
Tustin, CA 92780-6953

Mailing address

2492 Walnut Ave Ste 140
Tustin, CA 92780-6953
Phone (714) 544-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625000891 CA Part B Supplier - Clinic/Group Practice 5496948952 Receives reassigned benefits from 17 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

2492 Walnut Ave
Ste 140
Tustin, CA 92780
Phone (714) 544-2188

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437179959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 140",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-544-2188",
            "fax_number": "714-544-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 140",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-544-2188",
            "fax_number": "714-544-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE-OF-THE-ART PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-544-2188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13998",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13997",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT13998",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT13997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.