Active NPI
Jacqueline Ong Ang, PT
- Physical Therapist
- Toler, KY
National Provider Identifier
1295085280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004944
- Practice address
- 52 Toler Loop Apt 1
Toler, KY 41514-8692 - Phone
- (606) 939-0788
- NPI assigned
- Sep 17, 2012
- Last updated
- Sep 17, 2012
- Sex
- Female
- 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 | 004944 | KY | Primary |
Addresses
Primary practice location
52 Toler Loop Apt 1
Toler, KY 41514-8692
Mailing address
52 Toler Loop Apt 1
Toler, KY 41514
Phone (606) 939-0788
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004944 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1295085280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 TOLER LOOP APT 1",
"city": "TOLER",
"state": "KY",
"postal_code": "41514",
"telephone_number": "606-939-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 TOLER LOOP APT 1",
"city": "TOLER",
"state": "KY",
"postal_code": "415148692",
"telephone_number": "606-939-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANG",
"first_name": "JACQUELINE",
"middle_name": "ONG",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toler, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.