Individual provider Active NPI

Russell Evan Ong, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1245581875
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1183453 Issued in TX
Practice address
4815 Eagles Glen Dr
Houston, TX 77069-1475
Phone
(806) 544-8714
NPI assigned
Sep 22, 2012
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 1183453 TX Primary

Addresses

Primary practice location

4815 Eagles Glen Dr
Houston, TX 77069-1475

Mailing address

4815 Eagles Glen Dr
Houston, TX 77069-1475
Phone (806) 544-8714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906001575 TX Practitioner - Physical Therapist in Private Practice 2961775309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyz PT LLCGroup PAC ID 1658741871, 3 clinicians
Vaddcarm LLCGroup PAC ID 9931483880, 3 clinicians
JPG Services LLCGroup PAC ID 1658766779, 3 clinicians

Practice addresses (Care Compare)

11930 Barker Cypress Rd
Suite 300
Cypress, TX 77433-7352
Phone (832) 779-8324

15210 Interstate 45 S
Suite 108
Conroe, TX 77384-4967
Phone (832) 702-7272

23144 Cinco Ranch Blvd
Suite 23144 E
Katy, TX 77494-2894
Phone (281) 769-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183453TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JPG Services LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Vaddcarm LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

15210 Interstate 45 S
Ste 108
Conroe, TX 77384
Phone (832) 702-7255

23144 Cinco Ranch Blvd
Ste 23144E
Katy, TX 77494
Phone (281) 769-2301

23144 Cinco Ranch Blvd
Ste E
Katy, TX 77494
Phone (281) 769-2301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21888/brand/1/csg/1/fhir/r4

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, 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": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1245581875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 EAGLES GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691475",
            "telephone_number": "806-544-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 EAGLES GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691475",
            "telephone_number": "806-544-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "RUSSELL",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1183453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.