Individual provider Active NPI

Karen L Chong, D.P.T.

  • Orthopedic Physical Therapist
  • Raleigh, NC
National Provider Identifier
1114039989
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
14495 Issued in NC
Practice address
8300 Health Park Ste 127
Raleigh, NC 27615-4731
Phone
(919) 845-6160
Fax
(919) 845-6188
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 14495 NC Primary

Addresses

Primary practice location

8300 Health Park Ste 127
Raleigh, NC 27615-4731

Mailing address

8300 Health Park Ste 127
Raleigh, NC 27615-4731
Phone (919) 845-6160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415001757 NC Practitioner - Physical Therapist in Private Practice 6709882541 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7125AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC CurrentSince Aug 31, 2020 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Response Physical Therapy Orthopedic CurrentSince Feb 15, 2021 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 31, 2020 Accepting new patients
Fit Therapy LLC PastSince Nov 10, 2008 Accepting new patients
Zeng Chiropractic Center LLC Past Accepting new patients
Polaris Physical Therapy P.C. Orthopedic Past Accepting new patients

Locations

107 Edinburgh South Dr
Ste 100A
Cary, NC 27511
Phone (919) 678-3286

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

Organizations & group practices 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1114039989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-845-6160",
            "fax_number": "919-845-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-845-6160",
            "fax_number": "919-845-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "14495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.