Active NPI
Joaquin Rosario Wong III, DPT
- Physical Therapist
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042768-1
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042768-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Precision Rehab Occupational Physical Hand Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Services of Flatiron PC | Physical Therapist | Current | Accepting new patients |
| Elite Movement Initiative LLC | Physical Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Forest Hills, NY
- NPI 1689316770
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1134705676
Physical Therapist
-
- Occupational Therapist
- Fresh Meadows, NY
- NPI 1265895718
Physical Therapist
-
- Physical Therapist
- Forest Hills, NY
- NPI 1386282366
-
- Physical Therapist
- New York, NY
- NPI 1568037257
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.