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

Dr. Vicky Ling Wen, DPT

Individual provider Physical Therapist · NPI 1619733110

Dr. Vicky Ling Wen, DPT is a Physical Therapist in Private Practice in South Pasadena, California. Qualified in 2016, 10 years ago. Practices with Annette Tamraz Physical Therapy Inc, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1018 Magnolia St Apt A
South Pasadena, CA 91030-2551
Phone: (818) 371-6301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 — (818) 243-8422

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 292362 (CA)

Record details

NPI number1619733110
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 22, 2024
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1018 Magnolia St Apt A, South Pasadena, CA 91030-2551

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Annette Tamraz Physical Therapy Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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