Individual provider Active NPI

Megan Wong, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1407334923
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4913 Issued in NM
Practice address
1334 Wyoming Blvd NE
Albuquerque, NM 87112-5067
Phone
(505) 292-3317
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4913 NM Primary

Addresses

Primary practice location

1334 Wyoming Blvd NE
Albuquerque, NM 87112-5067

Mailing address

1334 Wyoming Blvd NE
Albuquerque, NM 87112-5067
Phone (505) 292-3317

Other names 1

  • Miss Megan Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180911000276 NM Practitioner - Physical Therapist in Private Practice 9931459054
I20230418002023 OH Practitioner - Physical Therapist in Private Practice 9931459054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility Fit Physical Therapy LLCGroup PAC ID 1052670379, 16 clinicians

Practice addresses (Care Compare)

2080 Beaver Valley Rd
Beavercreek, OH 45434-6976
Phone (513) 802-1929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4913NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Fit Physical Therapy LLC Physical Therapist CurrentSince Dec 22, 2022 Accepting new patients
Mobility Fit Physical Therapy, LLC Physical Therapist CurrentSince Dec 22, 2022 Accepting new patients

Locations

2080 Beaver Valley Rd
Beavercreek, OH 45434
Phone (513) 802-1929

11125 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 791-4040

801 W Main St
Lebanon, OH 45036
Phone (513) 491-0888

715 Congress Park Dr
Washington Township, OH 45459
Phone (513) 802-1929

7753 Cox Ln
West Chester, OH 45069
Phone (303) 710-0515

7782 Service Center Dr
West Chester, OH 45069
Phone (303) 710-0515

8742 Union Centre Blvd
Ste 3
West Chester, OH 45069

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1407334923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125067",
            "telephone_number": "505-292-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125067",
            "telephone_number": "505-292-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WONG",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.