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

Tatum Jo Wong, PT, DPT

Individual provider Physical Therapist · NPI 1528895984

Tatum Jo Wong, PT, DPT is a Physical Therapist in Private Practice in Oakland, California. Qualified in 2024, 2 years ago. Practices with Sports and Orthopedic Leaders Physical Therapy Inc, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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

4341 Piedmont Ave Ste 103
Oakland, CA 94611-4766
Phone: (510) 547-1630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 — (341) 200-1963

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306926 (CA)

Record details

NPI number1528895984
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sports And Orthopedic Leaders Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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