Active NPI
Dorothy Tan Wong, PT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1790768588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 20825
- Practice address
- 333 Hegenberger Rd
#250
Oakland, CA 94621 - Phone
- (510) 633-9494
- Fax
- (510) 633-9499
- NPI assigned
- Nov 25, 2005
- Sex
- Female
- Sole proprietor
- No
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 | PT 20825 | CA | Primary |
Addresses
Primary practice location
333 Hegenberger Rd
#250
Oakland, CA 94621
Mailing address
PO Box 612260
San Jose, CA 95161
Phone (877) 325-2776
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20825 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790768588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 612260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95161",
"telephone_number": "877-325-2776",
"fax_number": "408-945-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 HEGENBERGER RD",
"address_2": "#250",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94621",
"telephone_number": "510-633-9494",
"fax_number": "510-633-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "DOROTHY",
"middle_name": "TAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 20825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.