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

Jonathan Randall Wong, PT, DPT

Individual provider Physical Therapist · NPI 1487134342

Jonathan Randall Wong, PT, DPT is a Physical Therapist in Private Practice in Santa Clara, California. Qualified in 2018, 8 years ago. Practices with Ewa Beach Physical Therapy LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

710 Lawrence Expy Dept 174
Santa Clara, CA 95051-5173
Phone: (408) 851-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 295409 (CA)

Record details

NPI number1487134342
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESSeptember 9, 2019
Mailing address4330 Alpine Rd, Portola Valley, CA 94028-7928

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ewa Beach Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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