Individual provider Active NPI

Luu Thi Wong, OT

  • Hand Occupational Therapist
  • Chesterfield, MO
National Provider Identifier
1003450834
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
2000157770 Issued in MO
Practice address
14532 S Outer 40 Rd
Dept Occupational Therapy, Ste 120
Chesterfield, MO 63017-5705
Phone
(314) 286-1669
Fax
(314) 514-3635
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 2000157770 MO Primary

Addresses

Primary practice location

14532 S Outer 40 Rd
Dept Occupational Therapy, Ste 120
Chesterfield, MO 63017-5705

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1669

Other identifiers 1

IdentifierTypeStateIssuer
470085679MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001401 MO Practitioner - Occupational Therapist in Private Practice 3971936675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

14532 S Outer 40 Rd
120 Milliken Hand Rehabilitation Center
Chesterfield, MO 63017-5784
Phone (314) 286-1669

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Nov 11, 2019 Accepting new patients
Washington University CurrentSince Nov 11, 2019 Accepting new patients
Washington University Past Accepting new patients

Locations

14532 South Outer 40 Rd
Ste 120
Chesterfield, MO 63017
Phone (314) 362-7398

20 Progress Point Pkwy
Ste 106
O Fallon, MO 63368
Phone (314) 733-9009

4444 Forest Park Ave
Saint Louis, MO 63108
Phone (314) 286-1600

4444 Forest Park Ave
Ste 2206
Saint Louis, MO 63108

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4444 Forest Park Ave
#8505
Saint Louis, MO 63108
Phone (314) 286-1612

1631 A Roy Dr
Washington, MO 63090

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003450834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-286-1669",
            "fax_number": "314-514-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 S OUTER 40 RD",
            "address_2": "DEPT OCCUPATIONAL THERAPY, STE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175705",
            "telephone_number": "314-286-1669",
            "fax_number": "314-514-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LUU",
        "middle_name": "THI",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2000157770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470085679",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "14532 S Outer 40 Rd",
            "address_2": "Dept Occupational Therapy, Ste 120",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.