Individual provider Active NPI

Spencer Dong

  • Physical Therapist
  • Santa Clara, CA
National Provider Identifier
1891466561
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300793 Issued in CA
Practice address
710 Lawrence Expy Dept 1741
Santa Clara, CA 95051-5173
Phone
(408) 851-1400
NPI assigned
Sep 23, 2021
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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 300793 CA Primary

Addresses

Primary practice location

710 Lawrence Expy Dept 1741
Santa Clara, CA 95051-5173

Mailing address

10580 S de Anza Blvd
Cupertino, CA 95014-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427002897 CA Practitioner - Physical Therapist in Private Practice 2466849161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RS Wellness Physical Therapy ApcGroup PAC ID 7214184449, 8 clinicians

Practice addresses (Care Compare)

10580 S de Anza Blvd
Cupertino, CA 95014-4450
Phone (408) 366-1735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300793CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RS Wellness, Physical Therapy, Apc Physical Therapist CurrentSince Apr 7, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Jan 24, 2026 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 24, 2026 Accepting new patients

Locations

10580 S De Anza Blvd
Cupertino, CA 95014
Phone (408) 366-1735

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

710 Lawrence Expy
#1741
Santa Clara, CA 95051
Phone (408) 851-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1891466561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 S DE ANZA BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPY DEPT 1741",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "SPENCER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.