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

Stacey Wong, DPT

Individual provider Physical Therapist · NPI 1801473731

Stacey Wong, DPT is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2019, 7 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
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

1520 Nutmeg Pl Ste 111
Costa Mesa, CA 92626-2557
Phone: (714) 979-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 351 Hospital Rd Ste 7, Newport Beach, CA 92663-3504 — (949) 525-9995

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 299897 (CA)

Record details

NPI number1801473731
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESNovember 10, 2021
Certification dateOctober 26, 2021
Mailing address17870 Newhope St Ste 104-160, Fountain Valley, CA 92708-5439

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Costa Mesa