Individual provider Active NPI

Alan Wong, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1427695097
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044693 Issued in NY
Practice address
902 Broadway Ste 1601
New York, NY 10010-6028
Phone
(646) 654-1835
NPI assigned
Dec 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 044693 NY Primary

Addresses

Primary practice location

902 Broadway Ste 1601
New York, NY 10010-6028

Mailing address

902 Broadway Ste 1601
New York, NY 10010-6028
Phone (646) 654-1835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209001466 NY Practitioner - Physical Therapist in Private Practice 2163855917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044693NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Dec 3, 2019 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Sep 22, 2022 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Dec 3, 2019 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 22, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 22, 2022 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

902 Broadway
Ste 1601
New York, NY 10010
Phone (646) 654-1835

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 6

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": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1427695097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106028",
            "telephone_number": "646-654-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106028",
            "telephone_number": "646-654-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.