Individual provider Active NPI

Henry Wong, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1780820431
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35240 Issued in CA
Practice address
1466 31St Ave
San Francisco, CA 94122-3102
Phone
(415) 225-6652
NPI assigned
Dec 31, 2008
Reactivated
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 PT35240 CA Primary

Addresses

Primary practice location

1466 31St Ave
San Francisco, CA 94122-3102

Mailing address

1466 31St Ave
San Francisco, CA 94122-3102
Phone (415) 225-6652

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

State licenses

LicenseStateTypeSpecialty
35240CAMDClinical Psychologist
PT35240CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Wong Physical Therapy and Wellness Physical Therapist CurrentSince Feb 13, 2022 Accepting new patients

Locations

801 Portola Dr
Ste 202
San Francisco, CA 94127
Phone (415) 275-1038

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

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1780820431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 31ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223102",
            "telephone_number": "415-225-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 31ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223102",
            "telephone_number": "415-225-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "HENRY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "deactivation_date": "2018-10-29",
        "reactivation_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35240",
            "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 Feb 10, 2022; 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.