Michael Wang, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT010829 Issued in GA

Practice address

4870 Peachtree Industrial Blvd Ste 600
Berkeley Lake, GA 30071-5734

Phone

(678) 388-9504

Fax

(844) 860-3356

NPI assigned

Nov 28, 2012

Last updated

May 17, 2021By the provider in NPPES

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newcare Physical Therapy, LLCGroup PAC ID 0941518666, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newcare Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Peachtree Corners, GA
  • NPI 1811385669
  Medicare reassignment Care Compare group NPD
• Drmichaelwangpt, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Berkeley Lake, GA
  • NPI 1922680354
  NPD Authorized official

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1720323009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 PEACHTREE INDUSTRIAL BLVD STE 600",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715734",
            "telephone_number": "678-388-9504",
            "fax_number": "404-777-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 PEACHTREE INDUSTRIAL BLVD STE 600",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715734",
            "telephone_number": "678-388-9504",
            "fax_number": "844-860-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT010829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Taffe, PA
• Tara M. Boadu, Psy.D. LLC
• Tri Wellness Healthcare of Norcross, LLC
• Carolyn Tully
• Lei Phyu Tun, LPC
• Bertrina Olivia West
• Xinglin Oriental Medicine LLC
• Xiaoli Zhang

• Orthopedic Physical Therapist in Berkeley Lake, GA
• Providers in Berkeley Lake, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.