Anisha Mukhi Wong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012641 Issued in GA

Practice address

3709 Gentian Blvd Ste 12
Columbus, GA 31907-1165

Phone

(706) 887-5665

Fax

(706) 887-5672

NPI assigned

Sep 3, 2016

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Anisha Mukhi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1649727983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-887-5665",
            "fax_number": "706-887-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 GENTIAN BLVD STE 12",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071165",
            "telephone_number": "706-887-5665",
            "fax_number": "706-887-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Highway 74 S",
            "address_2": "Suite 720",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302693081",
            "country_code": "US",
            "telephone_number": "770-632-6800",
            "fax_number": "770-632-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANISHA",
        "middle_name": "MUKHI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISHA",
            "last_name": "MUKHI",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Christopher T Wommack, MD
• Wonderfully Made Women's Health Physical Therapy & Wellness, LLC
• Anna S Wong
• Roland W Wong, MD
• Ashanti Akira Wood
• Dakota Wood
• Gretchen Lyn Wood, MA, LMHC, NCC

• Physical Therapist in Columbus, GA
• Providers in Columbus, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.