Individual provider Active NPI

Tony Wong, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1073394136
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027879 Issued in IL
Practice address
5214 N Milwaukee Ave
Chicago, IL 60630-4624
Phone
(773) 649-5915
NPI assigned
Oct 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.027879 IL Primary

Addresses

Primary practice location

5214 N Milwaukee Ave
Chicago, IL 60630-4624

Mailing address

5050 N Broadway St Apt 953
Chicago, IL 60640-5270
Phone (917) 302-5339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001820 IL Practitioner - Physical Therapist in Private Practice 5294181103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.027879ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 12, 2024 Accepting new patients
Baal Perazim Wellness and Health Services PC CurrentSince Sep 1, 2025 Accepting new patients
Baal Perazim Wellness, Inc CurrentSince Dec 1, 2025 Accepting new patients
Solara Therapy, LLC Physical Therapist CurrentSince Dec 16, 2025 Accepting new patients

Locations

2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955

3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444

1823 W 47th St
Chicago, IL 60609
Phone (312) 698-9043

3916 N Broadway St
Chicago, IL 60613
Phone (773) 649-3099

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

Organizations & group practices 4

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": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1073394136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N BROADWAY ST APT 953",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405270",
            "telephone_number": "917-302-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304624",
            "telephone_number": "773-649-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.