Provider Demographics
NPI:1740944636
Name:NGO, TOMMY (PT, DPT, CAFS)
Entity type:Individual
Prefix:
First Name:TOMMY
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:PT, DPT, CAFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11667 COMPASS POINT DR N UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-5589
Mailing Address - Country:US
Mailing Address - Phone:949-331-4974
Mailing Address - Fax:
Practice Address - Street 1:11667 COMPASS POINT DR N UNIT 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-5589
Practice Address - Country:US
Practice Address - Phone:949-331-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist