Individual provider Active NPI

Jonathan Wei, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1871106716
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299028 Issued in CA
Practice address
5214 E Los Altos PLZ
Long Beach, CA 90815-4251
Phone
(562) 597-3035
NPI assigned
Aug 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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 299028 CA Primary

Addresses

Primary practice location

5214 E Los Altos PLZ
Long Beach, CA 90815-4251

Mailing address

6120 E Marita St
Long Beach, CA 90815-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030001140 CA Practitioner - Physical Therapist in Private Practice 0840600938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

6759 Sierra CT
Suite a
Dublin, CA 94568-2657
Phone (925) 803-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299028CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Baldwin Physical Therapy Inc. Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

6759 Sierra Ct
Ste A
Dublin, CA 94568
Phone (925) 803-0530

5214 E Los Altos Plz
Long Beach, CA 90815
Phone (562) 597-3035

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1871106716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 E MARITA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 E LOS ALTOS PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154251",
            "telephone_number": "562-597-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEI",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.