Shirley Kong

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297513 Issued in CA

Practice address

3732 Oakes Dr
Hayward, CA 94542-1719

Phone

(559) 410-2818

NPI assigned

Dec 11, 2019

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Peak Performance Physical Therapy IncGroup PAC ID 5991602997, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1346348943
  Medicare reassignment Care Compare group NPD
• Richard P Carr Physical Therapy Inc

  • Physical Therapist
  • Milpitas, CA
  • NPI 1376525840
  Medicare reassignment NPD
• Richard P Carr Physical Therapy Inc

  • Physical Therapist
  • San Jose, CA
  • NPI 1881676377
  NPD

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1457999294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 OAKES DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945421719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 OAKES DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945421719",
            "telephone_number": "559-410-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "SHIRLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokua Toxicology, LLC
• Nadezha Kolbert
• Gopala Rao Kolluru, M.D.
• Tanush Koneru
• Chararath Kong
• Anna Belle Kosiarek
• Olga Kournoutas, D.D.S.
• Karen Kramer, DC
• Lauren Michelle Kratky
• Anna Krieg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.

Verify at the official NPI Registry.