Healthcare Provider Details

I. General information

NPI: 1225826357
Provider Name (Legal Business Name): ONG PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 E WALNUT ST
PASADENA CA
91107-6659
US

IV. Provider business mailing address

2620 E WALNUT ST
PASADENA CA
91107-6659
US

V. Phone/Fax

Practice location:
  • Phone: 626-757-3116
  • Fax: 626-654-1051
Mailing address:
  • Phone: 626-757-3116
  • Fax: 626-654-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY ONG
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 626-757-3116