CAROLE GONG
NPI 1174134241
Physical Therapist - Orthopedic in Santa Monica, CA

Q: What is Carole Gong's NPI number?

The NPI number for Carole Gong is 1174134241. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Carole Gong's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Carole Gong was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2020

719 SANTA MONICA BLVD, SANTA MONICA, CA 90401(310) 260-9039 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carole Gong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLE GONG (NPI 1174134241) is an individual orthopedic provider in Santa Monica, California, licensed in California (298711) and active in the NPI registry since August 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1174134241

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameCAROLE GONG

Location Address719 SANTA MONICA BLVDSanta Monica, CA 90401-2601

Mailing Address1301 Via Del ReySouth Pasadena, CA 91030-3630

Phone(310) 260-9039

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 12, 2020

NPPES CertifiedAugust 12, 2020

✔ NPI 1174134241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · 298711

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

719 SANTA MONICA BLVD, Santa Monica, CA 90401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carole Gong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587074653

PECOS Enrollment IDI20201030000237

Medicare Billing Reassignments

Medicare enrollment records show Carole Gong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapyworks Inc.

Same address

Physical Therapist

719 SANTA MONICA BLVD
Santa Monica, CA 90401

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1780653626 (310) 260-9039

Evolution Physical Therapy, Inc

5.8 mi

Physical Therapist

11825 MAJOR ST, PENTHOUSE SUITE
Culver City, CA 90230

Reassigned Medicare billing, California enrollment
109 clinicians in this Medicare group

NPI 1174601116 (310) 915-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

600 services42 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

565 services37 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

98 services25 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

74 services19 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

18 services18 patients

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JARED SPENCER VAGY PT

Physical Therapist