Stacey Wong, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299897 Issued in CA

Practice address

1520 Nutmeg PL Ste 111
Costa Mesa, CA 92626-2557

Phone

(714) 979-3500

NPI assigned

Mar 26, 2021

Last updated

Nov 10, 2021By 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Select CS Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090

  Physical Therapist

  Medicare reassignment NPD
• Statnie Physiotherapy PC

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1770331548
  NPD Authorized official
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
  • NPI 1508528191

  Physical Therapist

  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1275220246
  NPD
• Select CS Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Huntington Beach, CA
  • NPI 1992389019
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1801473731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 NEWHOPE ST STE 104-160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085439",
            "telephone_number": "714-429-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NUTMEG PL STE 111",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262557",
            "telephone_number": "714-979-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Hospital Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633504",
            "country_code": "US",
            "telephone_number": "949-525-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "STACEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack K Wong, MD
• Jane Wong
• Johnny Chunkau Wong
• Lai Man Wong
• Miki Michelle Wong
• Henry Tseng-Ying Woo, LIC. ACUPUNCTURIST
• Suk Woo, D.D.S.
• Gregory Guy Wood, D.C./QME
• Lea D Wood, AGNP-C
• Lucy R. Wood

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.