Active NPI
Russell Evan Ong, PT, DPT
- Physical Therapist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1183453
- Practice address
- 4815 Eagles Glen Dr
Houston, TX 77069-1475 - Phone
- (806) 544-8714
- NPI assigned
- Sep 22, 2012
- Last updated
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1183453 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JPG Services LLC | Physical Therapist | Current | Accepting new patients |
| Vaddcarm LLC | Physical Therapist | Current | 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
- 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.
-
dba FYZICAL therapy & balance Centers
- Physical Therapy Clinic/Center
- Cypress, TX
- NPI 1699490466
-
dba FYZICAL Therapy & Balance Center
- Physical Therapy Clinic/Center
- Tomball, TX
- NPI 1336905371
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.