Active NPI
Jonathan C Ong, DPT
- Physical Therapist
- Choctaw, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4481
- Practice address
- 13390 NE 23Rd St
Choctaw, OK 73020-8622 - Phone
- (405) 769-5555
- Fax
- (405) 769-5558
- NPI assigned
- Sep 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38123 | CA | |
| Physical Therapist | 225100000X | 4481 | OK | Primary |
Addresses
Primary practice location
13390 NE 23Rd St
Choctaw, OK 73020-8622
Mailing address
526 SW 4TH Street
Suite 200
Moore, OK 73160
Phone (918) 864-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2422 NW 150TH St
Unit 5
Oklahoma City, OK 73134-2031
Phone 40573587773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4481 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osspt NW Okc PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Spine & Sports Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1700 S Broadway St
Ste E
Moore, OK 73160
Phone (405) 735-8777
2422 NW 150th St
Unit 5
Oklahoma City, OK 73134
Phone (405) 735-8777
2420 NW 150th St
Unit 4
Oklahoma City, OK 73134
Phone (405) 735-8777
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.
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1063130888
Physical Therapist
-
- Physical Therapist
- Moore, OK
- NPI 1316311293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1356622914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 SW 4TH STREET",
"address_2": "SUITE 200",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "918-864-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13390 NE 23RD ST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730208622",
"telephone_number": "405-769-5555",
"fax_number": "405-769-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "JONATHAN",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT38123",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Choctaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.