Sunny G Wong, DPT
Individual provider Active NPI Physical Therapist · Rockmart, GA
NPI 1497185482 · NPPES record last updated Jul 16, 2016
Key facts
- NPI
- 1497185482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1081 Nathan Dean Byp
Rockmart, GA 30153-2011 - Phone
- (678) 757-1899
- NPI assigned
- Nov 12, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1081 Nathan Dean Byp
Rockmart, GA 30153-2011
Mailing address
1081 Nathan Dean Byp
Rockmart, GA 30153-2011
Phone (678) 757-1899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037325 | Other | NY | PT LICENSE NUMBER |
Other providers in Rockmart, GA
- Chuan Wang
- Wecare Health and Wellness LLC
- Blayne Coley West
- Maria Westerfield
- Crystal White
- Nicholas Yarbrough
All providers in Rockmart, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.