STACEY WONG DPT
NPI 1801473731
Physical Therapist in Costa Mesa, CA
About Stacey Wong Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY WONG DPT (NPI 1801473731) is an individual physical therapist in Costa Mesa, California, licensed in California (299897) and active in the NPI registry since March 2021. She maintains a secondary practice location in Newport Beach and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Wong Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stacey Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 176 clinicians in this Medicare group
Westminster, CA 92683
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Select Cs Physical Therapy PC
- 217 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 1,388 clinicians in this Medicare group
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 4
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
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 Stacey Wong's NPI number?
The NPI number for Stacey Wong is 1801473731. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Stacey Wong located?
Stacey Wong practices at 1520 Nutmeg Pl Ste 111, Costa Mesa, CA 92626. The listed phone number is (714) 979-3500.
What is Stacey Wong's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Stacey Wong enrolled in Medicare?
Yes. Stacey Wong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacey Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Wong reassigns Medicare benefits to 3 organizations: Select Cal Physical Therapy PC (Costa Mesa, CA), Select Cs Physical Therapy, P.C. (Westminster, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each 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 Stacey 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 Stacey Wong was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stacey Wong, DPT · NPI 1801473731
Physical Therapist provider in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1801473731 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 299897 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 NUTMEG PL STE 111, Costa Mesa, CA 92626-2557
- **Phone:** (714) 979-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Select Cal Physical Therapy PC (NPI 1457014094, Costa Mesa, CA); Select Cs Physical Therapy, P.C. (NPI 1932783040, Westminster, CA); California Luna Care Physical Therapy PC (NPI 1689162166, Los Gatos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1801473731) · Data from the CMS NPPES public registry.