Rocky Wang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305769 Issued in CA

Practice address

5600 Mowry School Rd Ste 305
Newark, CA 94560-5371

Phone

(510) 651-9258

NPI assigned

Apr 1, 2024

Sex

Male

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, 2023

Medicare assignment

May accept Medicare assignment

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.

• Silver Creek Fitness and Physical Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1063510337
  Medicare reassignment NPD
• Washington Outpatient Rehabilitation Center, a Joint Venture

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1861443434

  Physical Therapist

  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1639920143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33995 FREDERICK LN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552526",
            "telephone_number": "510-516-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MOWRY SCHOOL RD STE 305",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605371",
            "telephone_number": "510-651-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ROCKY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Rhego Lee Wagas
• Christopher Marcell Walker
• Richard Martin Walus
• Chijian Wang
• Jiangtong Wang
• Washington Newark Medical Group
• Daionne Washington
• Earlasha Unique Washington
• Caprice Shante Watson
• Maliah Larissa Watson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.