Active NPI
Man Tat Wong, P.T.
- Specialist
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18855
- Practice address
- 9715 Medical Center Drive
Shady Grove Orthopaedic Associates, PA, Suite 415
Rockville, MD 20850 - Phone
- (301) 340-9200
- Fax
- (301) 279-9358
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 18855 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Drive
Shady Grove Orthopaedic Associates, PA, Suite 415
Rockville, MD 20850
Mailing address
21431 Manor View Cir
Germantown, MD 20876-6900
Phone (301) 540-4360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184
Phone (301) 530-1010
9601 Blackwell Rd
Suite 100
Rockville, MD 20850-6477
Phone (301) 340-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18855 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients |
Locations
10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414
19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200
9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jordan-Young Institute
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
DC
-
dba OrthoBethesda
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1851759898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295779437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21431 MANOR VIEW CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766900",
"telephone_number": "301-540-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DRIVE",
"address_2": "SHADY GROVE ORTHOPAEDIC ASSOCIATES, PA, SUITE 415",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-340-9200",
"fax_number": "301-279-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MAN",
"middle_name": "TAT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "18855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.