Active NPI
Maria Emelita Noel Wong, P.T.
- Physical Therapist
- Pulaski, TN
National Provider Identifier
1033205851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2412
- Practice address
- 993 East College St
Pulaski, TN 38478 - Phone
- (931) 424-1456
- Fax
- (931) 363-3507
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2412 | TN | Primary |
Addresses
Primary practice location
993 East College St
Pulaski, TN 38478
Mailing address
206 S Sam Davis Ave
Pulaski, TN 38478
Phone (931) 424-1456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2412 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033205851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S SAM DAVIS AVE",
"city": "PULASKI",
"state": "TN",
"postal_code": "38478",
"telephone_number": "931-424-1456",
"fax_number": "931-363-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 EAST COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "38478",
"telephone_number": "931-424-1456",
"fax_number": "931-363-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MARIA EMELITA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "2412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.