Individual provider Active NPI

Albert D Wong, PT

  • Physical Therapist
  • Chatham, VA
National Provider Identifier
1215129846
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005709 Issued in VA
Practice address
47 Depot Street
Chatham, VA 24531-3352
Phone
(304) 865-6778
Fax
(304) 865-7400
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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 2305005709 VA Primary

Addresses

Primary practice location

47 Depot Street
Chatham, VA 24531-3352

Mailing address

1212 Garfield Ave
Suite 200
Parkersburg, WV 26101-3247
Phone (304) 865-6778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081226000183 VA Practitioner - Physical Therapist in Private Practice 3870655988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

Merit-based Incentive Payment System (MIPS)

Final score
22.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Acac Physical Therapist CurrentSince Apr 18, 2018 Accepting new patients
Physical Therapy at Acac CurrentSince Apr 18, 2018 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Advantage Physical Therapy & Sports Performance, P.C. Physical Therapist Past Accepting new patients

Locations

111 Monticello Ave
Ste B
Charlottesville, VA 22902
Phone (434) 817-4276

410 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 817-4278

504 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-7848

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1215129846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-6778",
            "fax_number": "304-865-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 DEPOT STREET",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313352",
            "telephone_number": "304-865-6778",
            "fax_number": "304-865-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALBERT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.