Anita Marie Wong, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

0003278 Issued in NY

Practice address

23 Hamilton PL
Lake Grove, NY 11755-1916

Phone

(631) 935-2729

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1801482377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HAMILTON PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551916",
            "telephone_number": "631-935-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HAMILTON PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551916",
            "telephone_number": "631-935-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NY",
            "license": "0003278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Les Weinberg, PH.D.
• Deborah Weiss
• Wigs Plus (Wig Allure)
• Ronald Scott Wilensky, D.D.S.
• Jaia Williams, LMT
• Elizabeth Ann Wood, NP
• Jennifer Lisa Wood, LMSW
• James Yong Zhen Wu, M.D.
• Allen Young
• Devon Zappasodi, LMSW

• Gerontology Occupational Therapist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Gerontology Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.