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

Kenneth Wang

Individual provider Physical Therapist · NPI 1336022839

Kenneth Wang is a Physical Therapist in Private Practice in Fremont, California. Qualified in 2025, 1 year ago. Practices with Washington Outpatient Rehabilitation Center a Joint Venture, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

39141 Civic Center Dr Ste 120
Fremont, CA 94538-5831
Phone: (510) 794-9672
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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 308417 (CA)

Record details

NPI number1336022839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address39141 Civic Center Dr Ste 120, Fremont, CA 94538-5831

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Washington Outpatient Rehabilitation Center A Joint Venture — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fremont