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

Garret Wong, RPT

Individual provider Physical Therapist · NPI 1174840383

Garret Wong, RPT is a Physical Therapist in Private Practice in El Segundo, California. Qualified in 2009, 17 years ago. Practices with Davis and Derosa Physical Therapy Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2010

Practice location Address checks out

325 Main St
El Segundo, CA 90245-3814
Phone: (310) 648-3167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36278 (CA)

Record details

NPI number1174840383
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedApril 27, 2010
Last updated in NPPESApril 27, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Davis And Derosa Physical Therapy Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Segundo