Individual provider Active NPI

Ding-Yang Peng

  • Physical Therapist
  • La Palma, CA
National Provider Identifier
1558068502
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296852 Issued in CA
Practice address
5451 La Palma Ave Ste 48
La Palma, CA 90623-1732
Phone
(562) 362-9353
NPI assigned
Feb 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT296852 CA Primary

Addresses

Primary practice location

5451 La Palma Ave Ste 48
La Palma, CA 90623-1732

Mailing address

5451 La Palma Ave Ste 48
La Palma, CA 90623-1732
Phone (562) 362-9353

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

LicenseStateTypeSpecialty
PT296852CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Painfree Physical Therapy Corp a Professional Corporation Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients

Locations

5451 La Palma Ave
Ste 48
La Palma, CA 90623
Phone (562) 362-9353

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1558068502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 48",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231732",
            "telephone_number": "562-362-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 48",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231732",
            "telephone_number": "562-362-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "DING-YANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.