Individual provider Active NPI

Christine Wang

  • Orthopedic Physical Therapist
  • Saratoga, CA
National Provider Identifier
1932934023
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
306815 Issued in CA
Practice address
1821 Saratoga Ave Ste 100
Saratoga, CA 95070-6605
Phone
(140) 888-2345
NPI assigned
Sep 6, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 306815 CA Primary

Addresses

Primary practice location

1821 Saratoga Ave Ste 100
Saratoga, CA 95070-6605

Mailing address

6372 Edgemoor Way
San Jose, CA 95129-2927
Phone (408) 489-8830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107003139 CA Practitioner - Physical Therapist in Private Practice 0244768042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1821 Saratoga Ave
Suite 100
Saratoga, CA 95070-6605
Phone (408) 862-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306815CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia California Physical Therapy, PC. Orthopedic CurrentSince Sep 28, 2024 Accepting new patients
Therapydia California Physical Therapy, PC. CurrentSince Sep 28, 2024 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

1821 Saratoga Ave
Ste 100
Saratoga, CA 95070
Phone (408) 862-3453

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, 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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1932934023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 EDGEMOOR WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292927",
            "telephone_number": "408-489-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SARATOGA AVE STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706605",
            "telephone_number": "140-888-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "306815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.