Fenrong Gong, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006377 Issued in NY

Practice address

4123 Union St FL 4
Flushing, NY 11355-2452

Phone

(917) 294-4321

NPI assigned

Aug 5, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1975

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fenrong Gong PT PLLC

  • Physical Therapist
  • Flushing, NY
  • NPI 1679433569
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1376427856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNION ST FL 4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552452",
            "telephone_number": "917-294-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNION ST FL 4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552452",
            "telephone_number": "917-294-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "FENRONG",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Dominica Gomes
• Ariana Nicole Gomez
• Glendalee Gomez, RN
• Susana Gomilla, PA
• Katherine Gon
• Sujeong Gong
• Weijia Gong, LMHC
• Kimberly Gonzalez, RPA-C
• Michele Gonzalez, LCSW
• Raymond Jason Gonzalez, MA/CCC-SLP

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.