Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carole Gong

Individual provider Orthopedic Physical Therapist · NPI 1174134241

Carole Gong is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2020, 6 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

719 Santa Monica Blvd
Santa Monica, CA 90401-2601
Phone: (310) 260-9039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 298711 (CA)

Record details

NPI number1174134241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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