Carole Gong
NPI 1174134241ActiveIndividual· Physical Therapist, Orthopedic· Santa Monica, CA
Physical Therapist, Orthopedic with Evolution Physical Therapy Inc, practicing in Santa Monica, California. Medicare paid $29,111 for services to 44 patients in 2024.
Overview
| NPI | 1174134241 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Aug 12, 2020 |
| Certified by provider | Aug 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 298711 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 1,365 across 9 procedure codes |
| Paid by Medicare | $29,111 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Evolution Physical Therapy IncCulver City, CA · 75 clinicians
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