Individual provider Active NPI

Rebecca E Wang, DPT

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1699540963
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008976 Issued in KY
Practice address
350 Radio Park Drive
Ste. 1
Richmond, KY 40475-2998
Phone
(859) 625-5986
Fax
(859) 625-5987
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 008976 KY Primary

Addresses

Primary practice location

350 Radio Park Drive
Ste. 1
Richmond, KY 40475-2998

Mailing address

3632 Beechwood Cir
Lexington, KY 40514
Phone (859) 797-5485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213003197 KY Practitioner - Physical Therapist in Private Practice 3870029879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Hand and Physical TherapyGroup PAC ID 4082934070, 8 clinicians

Practice addresses (Care Compare)

350 Radio Park Dr
Suite 1
Richmond, KY 40475-2998
Phone (859) 625-6986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008976KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Hand & Physical Therapy Single Specialty CurrentSince Oct 28, 2024 Accepting new patients

Locations

350 Radio Park Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-5986

Organizations & group practices 1

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1699540963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 BEECHWOOD CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40514",
            "telephone_number": "859-797-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RADIO PARK DRIVE",
            "address_2": "STE. 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752998",
            "telephone_number": "859-625-5986",
            "fax_number": "859-625-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.