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

Dr. Su Wang, PT, DPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1699924894

Dr. Su Wang, PT, DPT, OCS, CSCS is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2008, 18 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

853 W 17th St Ste A
Costa Mesa, CA 92627-4364
Phone: (949) 423-7077
Fax: (949) 423-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1500 Adams Ave, Costa Mesa, CA 92626-3866 — (657) 600-8320
  • 8101 Newman Ave Ste C, Huntington Beach, CA 92647-7042 — (657) 600-8320

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT34847 (CA)

Record details

NPI number1699924894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , OCS , CSCS
Sole proprietorNo
NPI enumeratedSeptember 11, 2008
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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