Teresa Wong

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CA13484 Issued in CA

Practice address

2400 S Flower St
Physical Therapy Dept
Los Angeles, CA 90007-2629

Phone

(213) 742-1450

Fax

(213) 742-1453

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopaedic Hospital

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374
  NPD (past)
• Orthopaedic Rehabilitation Specialists Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1831171602
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1972658847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S FLOWER ST",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072629",
            "telephone_number": "213-742-1450",
            "fax_number": "213-742-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S FLOWER ST",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072629",
            "telephone_number": "213-742-1450",
            "fax_number": "213-742-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "CA13484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Setsuko Wong, RN
• Steve T Wong, DDS
• Sydni Mieko Wong
• Sze Wing Wong
• Terence Wong, PHARM.D.
• Thanh Wong
• Timothy C Wong, O.D.
• Tin Wong, DO
• Tracy May Wong, PHARMD
• Valerie Samantha K Wong, MD

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.