MEDICARE: IN PHYSIO, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1932070257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN PHYSIO, INC

Provider Business Mailing Address
First Line	:	1270 KENTON DR
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91755-5831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6329 SULTANA AVE
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-2031
Country	:	US
Telephone Number	:	626-233-0445
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHLEEN WONG
Credential	:	PT, DPT, CFMT
Telephone Number	:	626-233-0445

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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