Crystal Shih-Yuh Wang, B.S., MS-DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37889 Issued in CA

Practice address

435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319

Phone

(310) 385-9064

Fax

(310) 385-9264

NPI assigned

Jul 26, 2011

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Injury Physical Therapy IncGroup PAC ID 1658308572, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Injury Physical Therapy, Inc

  dba Professional Orthopedic and Sports Care

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1073603858

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Panorama City, CA
  • NPI 1407888928
  NPD
• Kevin Wentz Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
  • NPI 1194815647

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1659659514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104319",
            "telephone_number": "310-385-9064",
            "fax_number": "310-385-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104319",
            "telephone_number": "310-385-9064",
            "fax_number": "310-385-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CRYSTAL",
        "middle_name": "SHIH-YUH",
        "name_prefix": "Ms.",
        "credential": "B.S., MS-DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walter a Rogoff MD Inc
• Walter E Berman MD & Charles M Monell MD Inc
• Steven Waltrip, M.D.,
• Carrie M. Wambach, M.D.
• Benjamin Y Wang, MD
• Omeed Warej, M.D.
• Kelly Danae Warner, LCSW
• Warren L. Roston MD - a Professional Corporation
• Warren M. Lent MD Inc
• Kenneth J Washenik, M.D.

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.