Individual provider Active NPI

Joaquin Rosario Wong III, DPT

  • Physical Therapist
  • Kew Gardens, NY
National Provider Identifier
1629818943
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042768-1 Issued in NY
Practice address
11714 Union Tpke Apt Ec2
Kew Gardens, NY 11415-3806
Phone
(347) 549-5476
NPI assigned
May 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2024

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 042768-1 NY Primary

Addresses

Primary practice location

11714 Union Tpke Apt Ec2
Kew Gardens, NY 11415-3806

Mailing address

11714 Union Tpke Apt Ec2
Kew Gardens, NY 11415-3806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708000933 NY Practitioner - Physical Therapist in Private Practice 3375068240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Physical and Occupational Therapy PLLCGroup PAC ID 9739524224, 3 clinicians
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians
Precision Rehab Occupational Physical Hand Therapy PLLCGroup PAC ID 3072803782, 5 clinicians

Practice addresses (Care Compare)

10615 Queens Blvd
B11
Forest Hills, NY 11375-4301
Phone (646) 389-1161

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

18022 Union Tpke
Fresh Meadows, NY 11366-1620
Phone (718) 380-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042768-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Em Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Feb 2, 2025 Accepting new patients
Precision Rehab Occupational Physical Hand Therapy PLLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Elite Movement Initiative LLC Physical Therapist CurrentSince Feb 2, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist PastSince Aug 1, 2025 Accepting new patients

Locations

18022 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 380-8300

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

9812 Queens Blvd
Rego Park, NY 11374

Organizations & group practices 5

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1629818943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11714 UNION TPKE APT EC2",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11714 UNION TPKE APT EC2",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153806",
            "telephone_number": "347-549-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOAQUIN",
        "middle_name": "ROSARIO",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.