Active NPI
Coleen Charlotte Rabe Ong, MPT
- Physical Therapist
- Bayside, NY
National Provider Identifier
1285943506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029183
- Practice address
- 4205 Francis Lewis Blvd
1 FL
Bayside, NY 11361-2573 - Phone
- (718) 888-7727
- Fax
- (718) 269-9558
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 029183 | NY | Primary |
Addresses
Primary practice location
4205 Francis Lewis Blvd
1 FL
Bayside, NY 11361-2573
Mailing address
4205 Francis Lewis Blvd
1 FL
Bayside, NY 11361-2573
Phone (718) 888-7727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029183 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Profitness Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- New York, NY
- NPI 1871982231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1285943506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 FRANCIS LEWIS BLVD",
"address_2": "1 FL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612573",
"telephone_number": "718-888-7727",
"fax_number": "718-269-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 FRANCIS LEWIS BLVD",
"address_2": "1 FL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612573",
"telephone_number": "718-888-7727",
"fax_number": "718-269-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "COLEEN CHARLOTTE",
"middle_name": "RABE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
- Soo C. Oh, L. AC.
- Stuart Okin, MD
- Faith Cynthia Okobi, SERVICE COORDINATOR
- Ion Oltean, MD
- On Acupuncture P.C.
- Oral & Maxillofacial Surgery Associates, PC
- Orasis Laser LLC
- Origins Integrative Occupational Therapy PLLC (Life Lifters Health Occupational Therapy)
- Susan Ornstein-Nonnon
- Kimberly Caty Ortega
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.