Individual provider Active NPI

Alice Y Wong, D. P. T.

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1295030336
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23533 Issued in MD
Practice address
13 Western Maryland Pkwy Ste 204
Hagerstown, MD 21740-6474
Phone
(240) 452-3205
Fax
(301) 665-4576
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 23533 MD Primary

Addresses

Primary practice location

13 Western Maryland Pkwy Ste 204
Hagerstown, MD 21740-6474

Mailing address

8638 Veterans Hwy
1St Floor
Millersville, MD 21108-1422
Phone (410) 295-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110323000287 DC Practitioner - Physical Therapist in Private Practice 9638352065 Reassigns benefits to 1 organization
I20110323000382 MD Practitioner - Physical Therapist in Private Practice 9638352065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

13 Western Maryland Pkwy
Suite 204
Hagerstown, MD 21740-6474
Phone (240) 452-3205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23533MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 16, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 16, 2020 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

13 Western Maryland Pkwy
Ste 204
Hagerstown, MD 21740
Phone (240) 452-3205

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 8

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1295030336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 VETERANS HWY",
            "address_2": "1ST FLOOR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081422",
            "telephone_number": "410-295-8900",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY STE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406474",
            "telephone_number": "240-452-3205",
            "fax_number": "301-665-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALICE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "D. P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.