Individual provider Active NPI

Andy Wang

  • Physical Therapist
  • New York, NY
National Provider Identifier
1255069456
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049081 Issued in NY
Practice address
9 E 40TH St Ste 1200
New York, NY 10016-0402
Phone
(646) 596-7427
Fax
(646) 358-3443
NPI assigned
Aug 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 049081 NY Primary

Addresses

Primary practice location

9 E 40TH St Ste 1200
New York, NY 10016-0402

Mailing address

9 E 40TH St Ste 1200
New York, NY 10016-0402
Phone (646) 596-7427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918002079 NY Practitioner - Physical Therapist in Private Practice 8729442231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Treatments Physical Therapy PC CurrentSince Jan 1, 2025 Accepting new patients
Flex Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 28, 2023 Accepting new patients

Locations

278 W 81st St
New York, NY 10024
Phone (212) 579-3539

9 E 40th St
Rm 1200
New York, NY 10016
Phone (646) 596-7427

Organizations & group practices 2

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1255069456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 40TH ST STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160402",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 40TH ST STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160402",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.