IndividualActive
Kokiat Wongpiriyakun
NPI 1104768563 · Massage Therapist · Newport Beach, CA
Provider details
- NPI number
- 1104768563
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 100362 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4030 Birch St Ste 102
Newport Beach, CA 92660-2262
Phone: (949) 932-0624
Street-level locationGet directions
Mailing address
3284 San Amadeo Unit a
Laguna Woods, CA 92637-8408
Additional practice locations (1)
- 1755 Orange Ave Ste FCosta Mesa, CA 92627-3130Phone: (949) 631-6885
Registry dates
- Enumerated
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.