SPENCER DONG – Physical Therapist, NPI 1891466561

SPENCER DONG is a healthcare provider. based in Santa clara, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 300793 (CA). The NPI Number for SPENCER DONG is 1891466561

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER DONG
NPI
1891466561
Phone
(408) 851-1400
Address
710 LAWRENCE EXPY DEPT 1741
Enumeration Date
23 September 2021
Last Update Date
31 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4083661735
Graduation Year
2021 (5 years ago)
PAC ID
2466849161
Group Practice PAC ID
7214184449
Professional Enrollment ID
I20220427002897
Address ID
CA950144450CU10580BLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for SPENCER DONG

  • 710 LAWRENCE EXPY DEPT 1741

    SANTA CLARA, CA 950515173

    Phone: (408) 851-1400

    Type: Location

  • 10580 S DE ANZA BLVD

    CUPERTINO, CA 950144450

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220427002897IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes61678$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care50263$0
97124Therapy procedure using massage, each 15 minutes47057$0
97140Therapy procedure using manual technique, each 15 minutes41060$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39070$0
View full utilization report →

Insurance plans in this area (ZIP 95051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214184449View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference SPENCER DONG?
For SPENCER DONG, use NPI 1891466561 as the unique 10-digit identifier.
Is SPENCER DONG shown as active in public data?
Registry records indicate SPENCER DONG maintains an active NPI.
What expertise is attributed to SPENCER DONG?
SPENCER DONG's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SPENCER DONG?
Directory geography for SPENCER DONG centers on Santa Clara, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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