Active NPI
Stephen Whang
- Physical Therapist
- Dallas, TX
National Provider Identifier
1851799845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40420
- Practice address
- 1755 Wittington PL
Ste. #175
Dallas, TX 75234-1927 - Phone
- (866) 221-5405
- NPI assigned
- Dec 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40420 | CA | Primary |
| Physical Therapist | 225100000X | 2740 | NV | |
| Physical Therapist | 225100000X | 13889 | NC |
Addresses
Primary practice location
1755 Wittington PL
Ste. #175
Dallas, TX 75234-1927
Mailing address
1614 Golden Gate Ave
Los Angeles, CA 90026-1014
Phone (702) 553-7315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911002624 | CA | Practitioner - Physical Therapist in Private Practice | 8921501461 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4295 Gesner St
Suite 3C1
San Diego, CA 92117-6605
7245 Charmant Dr Unit
Suite 526
San Diego, CA 92122-4391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13889 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1851799845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 GOLDEN GATE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261014",
"telephone_number": "702-553-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 WITTINGTON PL",
"address_2": "STE. #175",
"city": "DALLAS",
"state": "TX",
"postal_code": "752341927",
"telephone_number": "866-221-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHANG",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40420",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2740",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "13889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.