Individual provider Active NPI

Aaron Wong, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1205468170
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028387 Issued in PA
Practice address
6595 Roosevelt Blvd
Philadelphia, PA 19149-2998
Phone
(215) 743-2332
NPI assigned
Feb 10, 2020
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014445 DE
Physical Therapist 225100000X PT028387 PA Primary

Addresses

Primary practice location

6595 Roosevelt Blvd
Philadelphia, PA 19149-2998

Mailing address

807 Rosehill Dr
King of Prussia, PA 19406-1787

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AaroWong@selectmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210917000165 PA Practitioner - Physical Therapist in Private Practice 0648677625 Reassigns benefits to 1 organization
I20230807003728 DE Practitioner - Physical Therapist in Private Practice 0648677625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Hen Physical Therapy IncGroup PAC ID 0446160790, 7 clinicians

Practice addresses (Care Compare)

320 Grove LN
Newark, DE 19711-5494
Phone (302) 565-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014445DEMDPhysical Therapist
PT028387PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jul 1, 2021 Accepting new patients
Blue Hen Physical Therapy, Inc. CurrentSince Jun 7, 2023 Accepting new patients
Blue Hen Physical Therapy, Inc. CurrentSince Jun 7, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jul 1, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 9, 2023 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244

425 New London Rd
Newark, DE 19711
Phone (302) 453-1588

2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877

201 Second Ave
Collegeville, PA 19426
Phone (610) 454-7991

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1205468170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ROSEHILL DR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492998",
            "telephone_number": "215-743-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014445",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AaroWong@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6595 Roosevelt Blvd",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191492998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.