Organization Active NPI

Promobility Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1750535936
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROMOBILITY PHYSICAL THERAPY, P.C.
Practice address
552 Broadway Ste 502
New York, NY 10012-3922
Phone
(917) 757-5135
Fax
(917) 522-9623
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Mrs. Wing Mun Wong-Tom, PT, MS, DPT
Title
President
Phone
(917) 757-5135

Specialties & licenses 1

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

Addresses

Primary practice location

552 Broadway Ste 502
New York, NY 10012-3922

Mailing address

100 Memphis Ave
Staten Island, NY 10312-3404
Phone (917) 757-5135

National Provider Directory

National Provider Directory

Locations

401 Broadway
Ste 205
New York, NY 10013
Phone (646) 262-0989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1750535936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMPHIS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123404",
            "telephone_number": "917-757-5135",
            "fax_number": "917-522-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 BROADWAY STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123922",
            "telephone_number": "917-757-5135",
            "fax_number": "917-522-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOBILITY PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WONG-TOM",
        "authorized_official_first_name": "WING MUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-757-5135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MS, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.