Active NPI
Christopher Wong, DPT
- Physical Therapist
- Kent, WA
National Provider Identifier
1699190900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60428112
- Practice address
- 25012 104TH Ave SE
Ste C
Kent, WA 98030-2821 - Phone
- (253) 856-3477
- Fax
- (253) 856-3478
- NPI assigned
- Feb 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60428112 | WA | Primary |
Addresses
Primary practice location
25012 104TH Ave SE
Ste C
Kent, WA 98030-2821
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1711 S Jackson St
Seattle, WA 98144
Phone (206) 987-2710
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Organizations & group practices 4
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Primary Care Clinic/Center
- Seattle, WA
- NPI 1134251747
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1699190900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25012 104TH AVE SE",
"address_2": "STE C",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-856-3477",
"fax_number": "253-856-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60428112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.