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BRIAN WILLIAM WONG PT
NPI 1255534418
Physical Therapist - Orthopedic in Tustin, CA

Active since June 06, 2007Accepts Medicare Assignment
2492 WALNUT AVE STE 140, TUSTIN, CA 92780(714) 544-2188 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian William Wong Pt NPPES

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

BRIAN WILLIAM WONG PT (NPI 1255534418) is an individual orthopedic provider in Tustin, California, licensed in California (PT13998) and active in the NPI registry since June 2007. He is a graduate of University Of California, San Francisco School Of Medicine (1986).

NPPES Registry Identity

NPI1255534418
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBRIAN WILLIAM WONGCredential: PT
Location Address2492 WALNUT AVE STE 140Tustin, CA 92780-6953
Mailing Address2492 Walnut Ave Ste 140Tustin, CA 92780-6953 · (714) 544-2188
Phone(714) 544-2188
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1986
Enumeration DateJune 6, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1255534418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · PT13998
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT13998 (CA)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License PT13998 (CA)
2492 WALNUT AVE STE 140, Tustin, CA 92780
Open in Google Maps ↗

Other Identifiers 1

OtherPT13998CA · Pt License#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian William Wong Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517159411
PECOS Enrollment IDI20101011000869

Medicare Billing Reassignment

Medicare enrollment records show Brian Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State-Of-The-Art Physical Therapy, Inc.
Same address
Physical Therapist
2492 WALNUT AVE STE 140
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1437179959 (714) 544-2188

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 2

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 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.
106 services12 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.
72 services11 patients

Other Providers at the Same Location NPPES 7

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

SABRINA CELESTE GAFFOGLIO
Specialist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
PAUL LEE
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
STATE-OF-THE-ART PHYSICAL THERAPY, INC.
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
NANDI SUNDARAM PT, MPT
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
EMILY NICOLE ROUNDS PT, MPT
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
WILLIAM CHRISTOPHER SIR LYV PT, DPT
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188
MARINA ELIA MAKAR
Physical Therapist
2492 WALNUT AVE STE 140
TUSTIN, CA 92780
Orange County (714) 544-2188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wong's NPI number?

The NPI number for Brian Wong is 1255534418. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Brian Wong located?

Brian Wong practices at 2492 Walnut Ave Ste 140, Tustin, CA 92780. The listed phone number is (714) 544-2188.

What is Brian Wong's specialty?

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

Is Brian Wong enrolled in Medicare?

Yes. Brian Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wong reassigns Medicare benefits to State-Of-The-Art Physical Therapy, Inc. (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Wong was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.