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

Connie Man Wa Fok

Individual provider Physical Therapist · NPI 1679392245

Connie Man Wa Fok is a Physical Therapist in Private Practice in San Ramon, California. Qualified in 2024, 2 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

2410 San Ramon Valley Blvd
San Ramon, CA 94583-1671
Phone: (925) 487-7349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679392245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESNovember 18, 2024
Certification dateOctober 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Ramon