Individual provider Active NPI

Christopher Kevin Wong, MSPT

  • Physical Therapist
  • Briarcliff Manor, NY
National Provider Identifier
1790755007
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013699-1 Issued in NY
Practice address
584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone
(914) 762-2222
Fax
(914) 762-9175
NPI assigned
Jan 26, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013699-1 NY Primary

Addresses

Primary practice location

584 N State Rd
Briarcliff Manor, NY 10510-1522

Mailing address

584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone (914) 762-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000019 NY Practitioner - Physical Therapist in Private Practice 3678751591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Mamaroneck Ave
Suite 104
Harrison, NY 10528-1612
Phone (914) 777-3737

584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone (914) 762-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013699-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 23, 2015 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Mar 23, 2015 Accepting new patients

Locations

584 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-2222

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

157 S Central Ave
Hartsdale, NY 10530
Phone (914) 428-9698

600 Bank Rd
Jefferson Vly, NY 10535
Phone (914) 245-8807

412 Market St
Nanuet, NY 10954
Phone (347) 741-3619

175 Memorial Hwy
Ste 2
New Rochelle, NY 10801
Phone (914) 235-5354

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

3535 Hill Blvd
Ste P
Yorktown Heights, NY 10598
Phone (914) 962-2728

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1790755007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101522",
            "telephone_number": "914-762-2222",
            "fax_number": "914-762-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101522",
            "telephone_number": "914-762-2222",
            "fax_number": "914-762-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEVIN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.