Active NPI
Patricia Wong, DPT
- Orthopedic Physical Therapist
- Quincy, MA
National Provider Identifier
1508934548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 16548
- Practice address
- 21 Totman St
First Floor
Quincy, MA 02169-7564 - Phone
- (617) 770-4167
- Fax
- (617) 770-0971
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 16548 | MA | Primary |
Addresses
Primary practice location
21 Totman St
First Floor
Quincy, MA 02169-7564
Mailing address
215 Centre St
Unit 7
Quincy, MA 02169-6358
Phone (617) 770-4167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16548 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.B. Rehabilitation Associates, Inc | Orthopedic | Past | Accepting new patients |
| JK Therapy Associates, LLC | Past | Accepting new patients |
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.
-
- Orthopedic Physical Therapist
- Quincy, MA
- NPI 1528003951
-
- Physical Therapy Clinic/Center
- North Easton, MA
- NPI 1619200979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508934548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CENTRE ST",
"address_2": "UNIT 7",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696358",
"telephone_number": "617-770-4167",
"fax_number": "617-770-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TOTMAN ST",
"address_2": "FIRST FLOOR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697564",
"telephone_number": "617-770-4167",
"fax_number": "617-770-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "PATRICIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "16548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.