Individual provider Active NPI

Winnie Pang, PT, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1578339396
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305125 Issued in CA
Practice address
230 California St Ste 400
San Francisco, CA 94111-4378
Phone
(415) 989-0955
Fax
(415) 989-0954
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 305125 CA Primary

Addresses

Primary practice location

230 California St Ste 400
San Francisco, CA 94111-4378

Mailing address

1418 20TH Ave
San Francisco, CA 94122-3432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119004058 CA Practitioner - Physical Therapist in Private Practice 5496107997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1700 California St
Suite 530
San Francisco, CA 94109-4591
Phone (415) 921-1758

402 Dewey Blvd
San Francisco, CA 94116-1425
Phone (415) 242-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Dec 1, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

230 California St
Ste 400
San Francisco, CA 94111
Phone (415) 661-1057

Organizations & group practices 3

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": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1578339396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 20TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114378",
            "telephone_number": "415-989-0955",
            "fax_number": "415-989-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "WINNIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.