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

Ivy Wong

Individual provider Physical Therapist · NPI 1780047381

Ivy Wong is a Physical Therapist in Private Practice in Alhambra, California. Qualified in 2015, 11 years ago. Practices with San Gabriel Valley Physical Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1300 E Main St Ste 210
Alhambra, CA 91801-4149
Phone: (626) 451-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 291182 (CA)

Record details

NPI number1780047381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESMay 6, 2016
Mailing address1300 E Main St, Suite 210, Alhambra, CA 91801-4149

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice San Gabriel Valley Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alhambra