Wesley W Ko

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299405 Issued in CA

Practice address

2850 Seventh St Ste 100
Berkeley, CA 94710-2703

Phone

(510) 845-5170

NPI assigned

Dec 2, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1669077137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18882 MASTERSON PL",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525082",
            "telephone_number": "510-359-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SEVENTH ST STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102703",
            "telephone_number": "510-845-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "WESLEY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Knoll, RN
• Kevin B Knopf, M.D.
• Kelly Lynn Knowles
• Leslie Susan Ko, LCMT, BCTMB
• Shao-Jung Ko
• Diana Kobland, L.AC.
• Eric Koblenz, MFT
• Rosey Kobliska-Becker, ASW
• Sarah Kochik, O.D.
• Nicole Koethner, MA, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.