Individual provider Active NPI

Jonathan C Ong, DPT

  • Physical Therapist
  • Choctaw, OK
National Provider Identifier
1356622914
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4481 Issued in OK
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

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150827002849 OK Practitioner - Physical Therapist in Private Practice 4082886437 Reassigns benefits to 2 organizations

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
Osspt NW Okc PLLCGroup PAC ID 2365828571, 3 clinicians

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

LicenseStateTypeSpecialty
4481OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osspt NW Okc PLLC Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Orthopedic Spine & Sports Physical Therapy PLLC Physical Therapist CurrentSince Aug 6, 2016 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.

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.

Verify at the official NPI Registry.