STACY LYNN WONG DPT
NPI 1447428412
Physical Therapist - Sports in Walnut Creek, CA

Active since February 13, 2008
2405 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 939-8585(925) 933-2709 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Lynn Wong Dpt NPPES

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

STACY LYNN WONG DPT (NPI 1447428412) is an individual sports provider in Walnut Creek, California, licensed in California (33995) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1447428412
Entity TypeIndividualFemale
Primary Taxonomy2251S0007X
Provider Legal NameSTACY LYNN WONGCredential: DPT
Location Address2405 SHADELANDS DRWalnut Creek, CA 94598-2444
Mailing AddressPo Box 31396Walnut Creek, CA 94598-8396 · (925) 939-8585 · Fax (925) 933-2709
Fax(925) 933-2709
Sole ProprietorNo
Enumeration DateFebruary 13, 2008
Last NPPES UpdateMarch 3, 2014
NPI 1447428412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License Licensed in CA · 33995
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
2405 SHADELANDS DR, Walnut Creek, CA 94598

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Physical Therapist (Orthopedic)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Nurse Practitioner (Family)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Physical Medicine & Rehabilitation (Pain Medicine)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Anesthesiology
2405 SHADELANDS DR
WALNUT CREEK, CA 94598
Physical Therapist (Orthopedic)
2405 SHADELANDS DR
WALNUT CREEK, CA 94598

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 Stacy Wong's NPI number?

The NPI number for Stacy Wong is 1447428412. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Where is Stacy Wong located?

Stacy Wong practices at 2405 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 939-8585.

What is Stacy Wong's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Stacy Wong was last updated on March 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.