Dorothy Tan Wong, PT
Physical Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1790768588
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790768588
- Entity type
- Individual (NPI-1)
- Name
- Dorothy Tan Wong
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2005
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 20825 | CA | Yes |
Practice location
333 Hegenberger Rd#250
Oakland, CA 94621
Phone 510-633-9494 · Fax 510-633-9499
Mailing address
Po Box 612260San Jose, CA 95161
Phone 877-325-2776 · Fax 408-945-4011
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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