Healthcare Provider Details

I. General information

NPI: 1396653366
Provider Name (Legal Business Name): CRYSTAL ZHENG PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CRYSTAL ZHOU

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 SERENO DR
VALLEJO CA
94589-2441
US

IV. Provider business mailing address

2422 43RD AVE
SAN FRANCISCO CA
94116-2059
US

V. Phone/Fax

Practice location:
  • Phone: 707-651-1000
  • Fax:
Mailing address:
  • Phone: 415-696-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310753
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: