Active NPI
Justin Tong
- Orthopedic Physical Therapist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 719 Santa Monica Blvd
Santa Monica, CA 90401-2601 - Phone
- (310) 260-9039
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
719 Santa Monica Blvd
Santa Monica, CA 90401-2601
Mailing address
1420 Walnut Ave Apt 5
Long Beach, CA 90813-2466
Phone (808) 375-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11825 Major St
Suite 107
Culver City, CA 90230-6356
Phone (310) 915-6100
131 N la Brea Ave
Los Angeles, CA 90036-2911
Phone (424) 444-9112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Physical Therapy, Inc | Orthopedic | Current | Accepting new patients |
| Athlos Physical Therapy and Fitness, PC | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
| Physical Therapyworks Inc. | Orthopedic | Current | Accepting new patients |
| Next Phase Medical PC | Past | Accepting new patients |
Locations
11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 915-6100
719 Santa Monica Blvd
Santa Monica, CA 90401
Phone (310) 260-9039
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- West Hollywood, CA
- NPI 1508653262
-
- General Practice Physician
- Culver City, CA
- NPI 1821961863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1821666470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WALNUT AVE APT 5",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132466",
"telephone_number": "808-375-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012601",
"telephone_number": "310-260-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.