Active NPI
Andrew M Wong, MS, OTR/L
- Occupational Therapist
- Natick, MA
National Provider Identifier
1083295349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13726
- Practice address
- 5 Chrysler Rd Apt 1013
Natick, MA 01760-1683 - Phone
- (808) 264-6389
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022999 | NY | |
| Occupational Therapist | 225X00000X | 13726 | MA | Primary |
Addresses
Primary practice location
5 Chrysler Rd Apt 1013
Natick, MA 01760-1683
Mailing address
5 Chrysler Rd Apt 1013
Natick, MA 01760-1683
Phone (808) 264-6389
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022999 | NY | MD | Clinical Neuropsychologist |
| 13726 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1083295349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CHRYSLER RD APT 1013",
"city": "NATICK",
"state": "MA",
"postal_code": "017601683",
"telephone_number": "808-264-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CHRYSLER RD APT 1013",
"city": "NATICK",
"state": "MA",
"postal_code": "017601683",
"telephone_number": "808-264-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022999",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.