Gwen-Yee Wong, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033121-1 Issued in NY

Practice address

92 West Ave
Brockport, NY 14420-1306

Phone

(585) 637-0790

Fax

(585) 637-3572

NPI assigned

May 9, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Agape Physical Therapy Services, PC

  • Physical Therapist
  • Brockport, NY
  • NPI 1841200649
  NPD (past)

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1760774764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WESTFALL RD",
            "address_2": "A5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201306",
            "telephone_number": "585-637-0790",
            "fax_number": "585-637-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GWEN-YEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033121-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Faig William, MD
• Yvonne M Williams, OD
• Abigail Naomi Wilson, NP
• Eric Alexander Winnie, DDS
• Matthew T Wiza, DO
• Jane S Wood
• Wright Counseling and Mediation Services LCSW, PLLC
• Elsie Anne Young, NP
• Your Medical Store,LLC
• Colleen Quigley Zuniga, PT

• Physical Therapist in Brockport, NY
• Providers in Brockport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.