Active NPI
Jessica Wong, DPT
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1639718786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297584
- Practice address
- 36 Still Beach CT
Sacramento, CA 95831-5568 - Phone
- (916) 956-2060
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT297584 | CA | Primary |
Addresses
Primary practice location
36 Still Beach CT
Sacramento, CA 95831-5568
Mailing address
36 Still Beach CT
Sacramento, CA 95831-5568
Phone (916) 956-2060
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physical Therapy Clinics, Inc. | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Rancho Cordova, CA
- NPI 1033136726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1639718786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 STILL BEACH CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958315568",
"telephone_number": "916-956-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 STILL BEACH CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958315568",
"telephone_number": "916-956-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JESSICA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.