Individual provider Active NPI

Wendy Wang, PHYSICAL THERAPIST

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1760412415
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015777 Issued in PA
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

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1470722000OtherHIGHMARK BS
AK000498LOtherPAACCUPUNTURE
P00174497OtherRR MEDICARE

Other names 1

  • Mrs. Yaquin Wang Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000091 PA Practitioner - Physical Therapist in Private Practice 6002071677 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
AK000498LPAMDAcupuncturist
PT015777PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Rehabilitation Center Physical Therapist CurrentSince Jul 10, 2002 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.

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.

Verify at the official NPI Registry.