Active NPI
Sherwin Wong, P.T.
- Physical Therapist
- Daly City, CA
National Provider Identifier
1487807244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20909
- Practice address
- 333 Gellert Blvd
Sutie 150
Daly City, CA 94015-2621 - Phone
- (650) 758-4700
- NPI assigned
- Oct 24, 2008
- Last updated
- Jun 1, 2012
- 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 | 20909 | CA | Primary |
Addresses
Primary practice location
333 Gellert Blvd
Sutie 150
Daly City, CA 94015-2621
Mailing address
333 Gellert Blvd
Sutie 150
Daly City, CA 94015-2621
Phone (650) 758-4700
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 |
|---|---|---|---|
| 20909 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Therapy Inc | Physical Therapist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1487807244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 GELLERT BLVD",
"address_2": "SUTIE 150",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152621",
"telephone_number": "650-758-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GELLERT BLVD",
"address_2": "SUTIE 150",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152621",
"telephone_number": "650-758-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SHERWIN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "20909",
"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 Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.