Active NPI
Wendy Wang, PHYSICAL THERAPIST
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1760412415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015777
- Practice address
- 6735 Harbison Ave
Oxford Rehabilitation Center
Philadelphia, PA 19149 - Phone
- (215) 725-2000
- Fax
- (215) 725-8655
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015777 | PA | Primary |
| Acupuncturist | 171100000X | AK000498L | PA |
Addresses
Primary practice location
6735 Harbison Ave
Oxford Rehabilitation Center
Philadelphia, PA 19149
Mailing address
6735 Harbison Ave
Philadelphia, PA 19149
Phone (215) 725-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1470722000 | Other | HIGHMARK BS | |
| AK000498L | Other | PA | ACCUPUNTURE |
| P00174497 | Other | RR MEDICARE |
Other names 1
- Mrs. Yaquin Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6735 Harbison Ave
Philadelphia, PA 19149-2305
Phone (215) 725-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK000498L | PA | MD | Acupuncturist |
| PT015777 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Rehabilitation Center | Physical Therapist | Current | Accepting new patients |
Locations
6735 Harbison Ave
Philadelphia, PA 19149
Phone (215) 672-2436
903 Tyson Ave
Philadelphia, PA 19111
Phone (215) 725-2000
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1235161076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1760412415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 HARBISON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19149",
"telephone_number": "215-725-2000",
"fax_number": "215-725-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 HARBISON AVE",
"address_2": "OXFORD REHABILITATION CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19149",
"telephone_number": "215-725-2000",
"fax_number": "215-725-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "WENDY",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015777",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000498L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "1470722000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCUPUNTURE",
"identifier": "AK000498L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00174497",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YAQUIN",
"last_name": "WANG",
"prefix": "MRS.",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.