Everett R Wong, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2591 Issued in HI

Practice address

1090 Keolu Dr
Suite 104
Kailua, HI 96734-3871

Phone

(808) 262-2292

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Physical Therapy, LLCGroup PAC ID 7416119698, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Team Physical Therapy LLC

  • Physical Therapist
  • Kailua, HI
  • NPI 1942598883
  Medicare reassignment Care Compare group NPD
• Rehab Therapy Partners, Inc.

  • Physical Therapist
  • Aiea, HI
  • NPI 1427002054
  NPD (past)
• Magnolia Physical Therapy, Inc

  • Clinic/Center
  • Huntington Beach, CA
  • NPI 1982642336
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1679520985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341440",
            "telephone_number": "808-262-2292",
            "fax_number": "808-262-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 KEOLU DR",
            "address_2": "SUITE 104",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343871",
            "telephone_number": "808-262-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EVERETT",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Wolfe
• Shyrah Leialoha Wolff
• Women'S Specialty Care LLC
• Aianna Emi Wong
• Bailey Wong
• Sonny J.H. Wong, M.D.
• Terilyn Wong
• Jason Shi-Jiang Woo, M.D.
• Jonathan Douglas Woo, MD
• Kyler Hass Wood

• Physical Therapist in Kailua, HI
• Providers in Kailua, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.